Test HAVE YOU HAD YOUR FURNACE & DUCTS CLEANED BEFORE?*Yes, by Klean King.Yes, by a competitor.NoNot sureYOUR INFORMATIONYOUR NAMEFirstLastPHONE*Please include your area code. xxx-xxx-xxxxOTHER PHONEPlease include your area code. xxx-xxx-xxxxEMAIL*WHAT IS YOUR ADDRESS?Address*City*Our service area includes Regina, Lumsden, White City, Emerald Park, Southey and Grand Coulee. We also will travel further. We do charge for mileage. You can use our Online Instant Quote form to determine the price.Postal Code*Does anyone in the home have health issues?*NoAllergiesCOPDRespiratory IssuesOtherIf you chose OTHER above, please let us know what the condition is?Do you have any pets?*No petsYes, dog(s)Yes, cat(s)Yes, bird(s)Select all that apply.Let us know about your home.The more we know about your home, the more efficient we can be. Please include the number of floor registers and any cold air return vents you see. We may find more while we are cleaning and we will make you aware of them.How many heat vents do you have? *Heat vents are typically installed below windows and near doors. There might also be some in the ceiling of your basement area. We will double-check when we arrive, it will just help us know how long it may take to clean your furnace and ductwork. It helps us schedule our day.Please check any of the other items you may have in your home.*Air ExchangeAir PurifierHumidifier (Connected to the furnace)More than one furnaceCentral Vacuum SystemCheck only those you know you have. If we find otherwise when we come to clean, our staff will inform you.How many cold air return vents do you have?*Cold air vents are larger than heat vents and are usually at the base of your walls. They might have fancier grills on them. We will double-check when we arrive, it will just help us know how long it may take to clean your furnace and ductwork. It helps us schedule our day.Would you like your clothes dryer vent cleaned as well? *Yes, please.No thanksGenerally this service is included with all furnace and duct cleaning, but additional fees may apply. We will inform you before we start any work.Do you require any new furnace filters?*Yes, please.No thanksSUBMITThis field should be left blank