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Warranty Registration Form

Please enter your information below. Fields preceded by arrow shape are required. When enrolling on-line, confirmation # will be sent to you via e-mail or facsimile within 24 hours.  If you provide the closing information, an invoice will be faxed to the title company and agent.  If you prefer to enroll by phone, or require immediate assistance, call 316-942-8383.

Sellers or Buyers Information:
Warranty Type:
Choose One:
Basic Coverage - Single Family ($75 Service Fee) - $409
Now includes FREE Sellers HVAC coverage
(available at time of listing only and only on single family coverage) 		- FREE
Basic Coverage - Duplex Family ($75 Service Fee) - $650
Basic Coverage - Triplex Family ($75 Service Fee) - $799
Basic Coverage - Fourplex Family ($75 Service Fee) - $950
New Construction Coverage (years 2-5) - $650
Optional Coverage:
Optional systems and appliances available
for buyers only.

Each additional HVAC system after second - add $100
Each additional water heater after first - add $50
Steam & hot water boilers - add $200
Electronic Air Cleaners - add $35
Sewage Ejector - add $100
Swimming pool - Spa - Hot Tub Equipment - add $150
Additional Pool or Spa Equipment - add $150
Lawn Sprinkler System - add $120
Well Pump - add $95

Total Fee:

Choose One: Listing Only
Under Contract
  Plan fee is due at close of sale  
Expiration of Listing:    (if no contract in place)
Date of Closing:    
Property Being Covered
Address: City:
State: Zip:
County:
Seller
First Name: Last Name:
Telephone: Facsimile:
E-Mail Address:
Buyer
First Name: Last Name:
Telephone if available: Facsimile:
E-Mail Address:
Name of the person entering the warranty:
Telephone: Facsimile:
E-Mail Address
If Homeowners will not be living at the address above, please provide contact mailing address & phone # here.
Name
Address
Phone Number
Alternate Phone Number
Broker's Information
Real Estate Company:
Agent:  
First Name: Last Name:
   
Street Address: City:
State: Zip Code:
Telephone: Facsimile:
E-Mail Address:
Closing Information: Please enter this information if known
Closing Company: Closing Agent:
Street Address: City:
State: Zip Code:
Telephone: Facsimile:
E-Mail Address:
Additional Information:
Special Instructions:
 
Air Duct Cleaning
Indoor Air Quality
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We accept MasterCard
We accect Discover
We accept American Express
Proud Member of the Better Business Bureau
 
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