Priority One Online Enrollment Form

Service Information-

( * Indicates a required field)

First Name

Last Name

Service Street

City, TX Zip

*Service Contact Phone # - - EXT

*For special promotions or coupons as well as inspection reminders, please provide email address

Email Address

(Note: Fox Service Company will not sell, share, or otherwise distribute your email address. )

Solicitation Preference

Billing Information-

*Billing Address Same as Service?Yes (if yes, skip Billing Info section)

Billing First Name

Billing Last Name

Billing Street

Billing City , State Zip

Billing Contact Phone # - - EXT

Home Information-

Home Type

Number of HVAC Units on Site

Is this site part of a duplex? If Yes, check box (Yes, this is part of a duplex)

Inspection Scheduling Information-

Please indicate preferred date & time of first inspection:

*Preferred Date:

*Preferred Time

Save $10.00 Instantly by enrolling online NOW!

Click Here for details on the $40 (per unit) Texas Gas Heating Rebate!

First unit $139.00 ($149.00 normal), each additional unit is $109.00
                          1 Unit- $139.00           4 Unit- $466.00
                    2 Unit- $248.00           5 Unit- $575.00
                    3 Unit- $357.00           6 Unit- $684.00

AUTO RENEWAL OPTION

Yes! I would like to sign up for Auto Renewal of this contract
      (credit card must be used to enroll for Auto Renewal; will be collected by phone upon verification by a Fox Service Company Representative)

   Using the credit card number provided on enrollment

   Using a different card number

*Auto Renewal constitutes a verbal agreement between you and Fox Service Company which allows your contract to be automatically renewed each year as appropriate. Unless a Credit Card is used to secure the Auto Renewal this agreement authorizes Fox Service Company to invoice you by mail directly upon renewal.

This agreement can be nullified by verbal or written notice at anytime, by either party as desired, and is subject to our 100% satisfaction guarantee.

Agreement Conditions:

1) Fox Service Company reserves the right to reschedule inspections as necessary in rare cases due to extreme weather or logistical obstacles.
2) Fox Service Company will endeavor to render promised service as indicated but will not be held responsible for any loss or damage as a result of lapse of contract coverage or delayed opportunity to perform the inspection(s).
3) Unused portions of the Contract are refundable or can be transferred to new homeowner, if property is sold.
4) Discounted rates apply for existing Priority One members who move and would like to get their new residence covered.

Online Enrollment Verification will be provided via phone number given.
A Fox representative will be contacting you shortly (during normal business hours) at the primary contact number listed to confirm your inspection schedule time and payment type.

We can Fix That.