Protection Plan Appliacation Please enable JavaScript in your browser to complete this form. - Step 1 of 3Coverage DetailsSelect and customize your plan - you will be able to customize it in the future.How many Kitchen/Laundry Appliances do you want to covere? *5 Appliances - $35.906 Appliances - $38.907 Appliances - $47.908 Appliances - $56.909 Appliances - $65.9010 Appliances - $74.90Prices are per month and we will auto-bill the credit card on file every month. All Plans require a one year commitment.What appliances do you want to cover? *RefrigeratorDishwasherOven/Range/StoveCooktopFreezer (stand-alone)Ice Maker (stand-alone)MicrowaveGarbage DisposalWine CoolerTrash CompactorClothes WasherClothes DryerGrill/BBQPlease choose the same number of appliances you have chosen at the previous option.Any additional or 2nd appliances?Eligible appliances: washer machine, dryer, stove, oven, cooktop, refrigerator, dishwasher, microwave, garbage disposal, wine-cooler, ice-maker (stand-alone) , trash compactor, freezer (stand-alone).Are all covered appliances in good working condition, without any known issues? *YesNoThis does not necessarily disqualify you from our program. Some issues are minor and we cover them upon enrolling.Please describe any existing appliance related issues in free language. *This does not necessarily disqualify you from our program. Some issues are minor and we cover them upon enrolling.Additional CoveragesHVAC / Air Conditioner - $10.00Water Heater - $9.00Garage Door Opener - $9.002nd HVAC / Air Conditioner - $10.002nd Water Heater - $9.002nd Garage Door Opener - $9.00Prices are per month and we will auto-bill the credit card on file every month. All Plans require a one year commitment.Are all covered systems in good working condition, without any known issues? *YesNoPlease describe any existing AC, Garage Door Opener or Water-Heater related issues in free language. *This does not necessarily disqualify you from our program. Some issues are minor and we cover them upon enrolling.Claim Fee (fee per new claim) *Regular Fee $69.95 ($0/month)Reduced Fee $0 ($15/month)Select between Regular or Reduced Fee for each service call. This is a flat fee we charge every service call placed under the Protection Plan. No additional costs will be applied for parts or labor. There is no limit on how many calls you can place under your contract.Repair or Replace Protection?Yes, add replacement protection to my plan - $15.00This optional coverage will protect you from cases an appliance cannot be repaired and need to be replaced with a new one. Coverage and Limits will be shown at checkout.Total$0.00NextName *FirstMiddleLastProtected Address *Address Line 1Address Line 2CityFloridaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you live at this location? *YesNoRealtors, landlords and communities - please contact us for special packages and pricing.Phone *Best phone number to reach you.Email *We will send invoices, updates and recommendations every now and then.How did you hear about us?Prefer not to answerFriendTechnicianRealtorMy Community or HOAGoogleFacebook / InstagramYelpAngiSomewhere elseYou can skip this question.Friend's Name *Please insert the name or the person referred you to usTechnician's Name *Please insert the name or the person referred you to usAgent's Name *Please insert the name or the person referred you to usCommunity or HOA Name *Please insert the name of your community, condominium or apartment complexTotal$0.00NextTotal Monthly Payment$0.00This is the monthly payment for your customized protection plan (service call applied on service requests)Stripe Credit Card *CardName on CardThis is the card we will charge on regular basis. You will be able to update and change it later on your portal.Terms and Conditions ConfirmationWe know it’s boring but even champs read the fine print. *I read and agree to terms and conditions.Protection Repair Plan Terms Replacement Assistance Plan Submit
