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All Quotes are personally done by a Central Vacuum representative


1

  My home is:


Select One

Existing Home
New Construction

2

  What is your sq. footage?


*required




3

  What kind of Flooring do you have in your home?


Check all that apply

Low to Medium Pile Carpets
Thick/Plush High Pile Carpets
Bare Floors
Area Rugs

4

  Do you have Pets that shed?


Select One

Why is this important?

Yes
No 

5

  Accessories that I'm


Check all that apply

Vacpan
RugRat (for cleaning stairs)
Hose Sock
ZipBroom
Garage Car Kit

6

  What type of inlet kit (pipe,


Select One


Descriptions:
Inlet Kit With Pipe Info
Inlet Kit Without Pipe Info
 
Non-Electric with pipe
Non-Electric without pipe
Electrical with pipe
Electrical without pipe
Piping already installed with Electrical Inlets
Piping already installed with Standard Inlets
Piping already installed and NOT sure of inlets
Not sure about inlet kit

7

  Which Central Vacuum Unit are


Note: This quote is for only ONE selection,  you may call us if you want a quote on more than one model.

 
Vacu-Maid (outside venting only)
Vacuflo (outside venting only)
Imperium (outside venting only)
Imperium (Filtered same as Beam)
Nutone
Hayden
Electrolux
Hoover
Beam
Eureka
AirVac
Dust Care Soundproof
Dust Care (manufactured by Beam)
Not sure

8

  I am interested in the


Select One

Lower Range Systems up to $800.00
Mid Range Systems up to $1200.00
High End Systems
The Best Choice for my needs
Top of the line


Note: We cannot send you back a quote without your e-mail and/or fax number.
Privacy: We NEVER give nor sell this information.

E-mail address:


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What is your full name?

What is your phone #?

What is your fax #?

We need your zip code


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that may help Central Vacuum serve you!


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