Air Conditioning Registration Form

Year
Apartment			Building	60         80
	I (we) have no air conditioners.   If this applies, please select the checkbox on the left, then sign and date this form and submit.

Please list your air conditioners as follows:

Energy Star
Air Conditioner #1		BTU's		EER*
Air Conditioner #2		BTU's		EER*
Air Conditioner #3		BTU's		EER*
Air Conditioner #4		BTU's		EER*

 
I hereby give the Board of Directors, Management, or building staff permission to schedule an appointment to inspect the air conditioners in my apartment.
 

 

Cooperator's Signature		Date

Please fill out this form; then print it out to PDF or paper. The PDF document should be emailed to Stewart Hackett at shackett@robertEhill.com. If you prefer to use regular mail, send the completed and printed form to