HomeSmart Certified EfficiencyPlus™ Application

Please fill out the information below to subscribe to our HomeSmart Certified EfficiencyPlus™ program.

Required Field

Form: HomeSmartCO CEP Enrollment

Account Number:

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Phone:

Email Address:

This plan covers one furnace and/or one central air conditioner per residence. Extra units are $8.00 each per month.

Select a plan

- Furnace and water heater - $19.98/month

- Central air conditioner and water heater - $19.98/month

- Furnace, central air conditioner and water heater - $27.98/month (BEST VALUE)

Select Replacement Coverage: Select...Yes, Replacement Coverage $9.99/month No

Do you need a customized plan? Own a mobile home? Other needs?

Is your water heater: Conventional OR Tankless? (Must choose one)

Comments?

How did you hear about us?

Enter source or reference code:

I have read and accept the Terms and Conditions. Terms and conditions must be accepted for your application to be approved.

Accept? Select one Yes