Please print this page and fax or include the requested information in an email to SEMIACCA

Southeast Michigan Chapter

Air Conditioning Contractors

Of America

“Al Keats Day—Project Heat”

Senior Citizen’s Service Day

Dealer Participation

DATE:                                         December 2, 2006

TYPE OF WORK:                   15 Point Furnace Check

TIME:                                          8:00 a.m.—1:00 p.m.

PURPOSE:                               To promote quality contractors and their employees, and create good

                                                    will in our communities.

VOLUNTEER HELP

COMPANY NAME: _______________________________________________________________

ADDRESS: ______________________________________________________________________

_______________________________________________________________________________

CITY, STATE, ZIP: _______________________________________________________________

TELEPHONE NUMBER: (      )_________________ EMAIL: _______________________________

NUMBER OF TRUCKS: _______________NUMBER OF SERVICE CALLS:  __________________

NAME OF VOLUNTEERS: __________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

LOCATIONS WILLING TO SERVE: ___________________________________________________

________________________________________________________________________________

TYPE OF EQUIPMENT ABLE TO SERVICE:  ___________________________________________

________________________________________________________________________________

________________________________________________________________________________

 

CALL:  734-266-5475  or 248-474-2226,   FAX:  734-266-5479, EMAIL:  cjones@semiacca.org