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What We Cover
2 Air Conditioners Garbage Disposal 5 Point tune-up Standard Seer Upgrade
Plumbing Unknown Pre-existing Conditions Heating Electrical
Freon Recovery Water Heater (up to 50 Gal) Circuit Boards Line Clearing up to 6ft
Note: This plan requires a $75 (deductible) service fee
Choose Basic Package*
 T
Seller`s Coverage
Seller`s Coverage
No Deductible
No Deductible
Refrigerator with Ice Maker & Dispenser
Refrigerator with Ice Maker & Dispenser
Oven/Range
Oven/Range
Dishwasher
Dishwasher
Microwave
Microwave
Washer/Dryer
Washer/Dryer
Stoppage Coverage
Stoppage Coverage
Double Oven
Double Oven
Pool or Spa (with shared equipment)
Pool or Spa (with shared equipment)
Additional Pool OR Spa Additional Pump & Motor
Additional Pool OR Spa Additional Pump & Motor
Extended Plumbing
Extended Plumbing
Each Additional Air Conditioner
Each Additional Air Conditioner
Each Additional Water Heater
Each Additional Water Heater
Emergency Service
Emergency Service
Garage Door Opener
Garage Door Opener
Water Softener
Water Softener
Second Refrigerator
Second Refrigerator
Stand Alone Freezer
Stand Alone Freezer
Coverage Total
Homeowner`s application
Address to be covered*

Street 2:

Apt/Unit #

City:*

State:*

Zip Code:*

Phone:

Home Owner/ Buyer`s Mailing Address
Home Owner/ Buyer`s Name*

Send confirmation Email to:*

Enter valid email
Home Owner Mailing Address:*

Home Owners Mail Street 2:

Home Owners Mailing City:*

Home Owners Mailing State:*

Home Owners Mailing Zip Code:*

Agent`s Information
Agents Name

Phone:

Agent Code

BFS assigned Salescode
Real Estate Company

Agents Email address

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Closing Company
Closing Company

Closing Date

Escrow Officer

Email address

Phone:

Fax:

If Seller`s Coverage has been selected, seller`s coverage begins when this application is submitted and expires 6 Months from the listing date.
Sellers Coverage includes AC, Heating, Minor Plumbing & Electric and Water Heater.
Enter Seller Coverage Begin Date:*

Seller`s Name:*

Seller`s Phone#:

Seller`s Email

Sellers Address 1:*

Seller`s Address 2:

Seller`s City*

Seller State*

Seller`s Zip Code*

Place your order
Choose Payment Method*

 

3.5 % Credit Card Payment
I understand a 3.5% convenience fee will be added for Credit Card payments.
**Monthly Payment/Auto Renew option will not incur credit card convenience fee
Mail your check to :
BFS Home Warranty
3500 N. 28th Terrace
Hollywood, FL 33020-1104
Call: 1-800-237-9910
Routing Number

enter your bank routing number
Bank Account #

Enter your bank account number
Verify Routing #

reenter Routing Number
Verify Bank Account #

reenter bank account #
Name on Credit Card*

Card Brand*

Card Number:*

Expiration Month*

Expiration Year:*

CVV2:*

Card Billing Same as Home Owner Mailing Address?*

Card Billing Address

Card Billing line 2:

Card Billing City

Card Billing State

Card Billing ZipCode

Monthly Payment, Automatic Renewal and Cancellation terms
Your service contract agreement will automatically renew at the end of each annual term continuously with Broward Factory Service aka BFS unless either party gives the other written/electronic notice of cancellation with a minimum of 30 days before the renewal date. Upon renewal of the contract, an email notification will be sent within 5 days of your credit card charge along with a copy of your renewal agreement which includes terms and conditions. Monthly amounts due are 12 equal payments of the agreed annual contract amount on the home warranty application. The first payment will be due upon signing the application and thereafter will be scheduled either on the 15th of the month or the last business day of the month, depending on date of application.

If you choose to cancel an existing in force contract, you are subject to and agree to the following terms and conditions:
- Upon termination of agreement/monthly payments, no refund is due to customer.
- In the case that BFS Home Warranty’s service cost is greater than the agreement price paid to date, customer shall owe to BFS service cost minus agreement price paid to date up to a maximum of the full agreement price as provided in the account summary on the original order form and agreement.
- Cancellations require a 30-day notice that should be sent via email to sales@browardfactory.com. Please include your agreement number and service site address with your request.
Up to date Terms and Conditions can be found at www.bfshomewarranty.com/TC
 
 
YES! Sign me up for monthly payments and automatic renewals*

Customer Name*

Property Address*

Email Address*

Phone Number*

Total Contract Amount

Total after applicable tax
Monthly Payment Amount

12 equal monthly payments
Choose Payment*

choose method
Routing Number .*

Enter your bank routing number
Bank account # .*

Enter your bank account number
Verify Routing*

reenter Routing Number
Verify Bank acct #*

reenter bank acct number
Card Brand*

Enter Credit Card #*

Enter card CVV #*

Enter Card Expiration*

Billing Same as Home Owner Mailing Address?*

Billing address

Bill to City State Zip*

By signing below, I agree to the above terms and conditions and authorize Broward Factory Service to charge the below credit card monthly unless I provide notice of cancellation.

I agree to terms stated above

date of acceptance
 
How did you hear about us?
Realtor Mailer Internet Friend/Neighbor 

Comments:

Confirmation #:

Florida - A/C CA-C056778 Florida - A/C CA-C057400 Florida- Plumbing CFC1430745
Florida -Electrical ES-0000336 - Florida Electrical EC13007734
Nevada A/C 0040504, 0081113 Nevada Water Heater 0046467 Nevada Plumbing 0081114
Texas Plumbing M-44053 Texas A/C TACLB20853E, TACLB33262E, TACLB98475E
Arizona A/C 280095,279402 Arizona Plumbing 289307
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