Testing Posted on 05/24/202305/24/2023 by mikhail@guardhomewarranty.com Name and Plan InformationHiddenTodays Date (Date Field Type) MM slash DD slash YYYY HiddenDefaulted Email for Existing Users HiddenInvoice ID HiddenPartner auto ID HiddenDummy partner id HiddenPartner Name Name* First Last Email* Enter Email Confirm Email HiddenCustomer No-Email Option No email address for customer Phone*HiddenNo Email Default Select Package* Appliance Package VIP Package Systems Package Select Appliance Package Payment Interval* APPLIANCE MONTHLY - $46/Month APPLIANCE QUARTERLY - $131/Quarter (3 Months) - 5% Saving! APPLIANCE ANNUAL - $499/Year - 1 Month's Worth of Savings! Select Systems Package Payment Interval* SYSTEMS MONTHLY - $46/Month SYSTEMS QUARTERLY - $131/Quarter (3 Months) - 5% Saving! SYSTEMS ANNUAL - $499/Year - 1 Month's Worth of Savings! Select VIP Payment Interval* VIP MONTHLY - $59/Month VIP QUARTERLY - $168/Quarter (3 Months) - 5% Saving! VIP ANNUAL - $649/Year - 1 Month's Worth of Savings! HiddenPackage Tracking Copied from Package Interval Field HiddenPayment Interval Monthly Quarterly Annual APPLIANCE PACKAGEAPPLIANCE PACKAGERefrigerators Cooktops/Ranges Ovens Microwaves (built in) Trash Compactors Dishwashers Clothes Washers Clothes Dryers Garage Door Openers Add to CartMost PopularVIP PACKAGEVIP PACKAGERefrigerators Cooktops/Ranges Ovens Microwaves (built in) Trash Compactors Dishwashers Clothes Washers Clothes Dryers Garage Door Openers Air Conditioning/Cooler Heating System Ductwork Water heater Plumbing System/Stoppage Sump Pump Ceiling and Exhaust Fans Central Vacuums Doorbells Electrical Systems Garbage disposal Instant Water DispenserAdd to Cart SYSTEMS PACKAGESYSTEMS PACKAGEAir Conditioning/Cooler Heating System Ductwork Water heater Plumbing System/Stoppage Sump Pump Ceiling and Exhaust Fans Central Vacuums Doorbells Electrical Systems Garbage disposal Instant Water Dispenser Add to Cart Guard Plus Add-On for VIP Package - Increased maximum aggregate limit to $45,000 - Double line item limits - Unknown Pre-existing conditions* - 2nd Air Conditioner/Heating systems - Expanded A/C and Heat Pump coverage** - Tankless and commercial water heaters - Code violations, modifications, disposal and permits - Refrigerator Ice Maker and Beverage Dispenser *Conditions that previously passed a visual or mechanical inspection by a service professional **Upgrades, components or parts for existing air conditioner or heat pump equipment required to maintain compatibility with the covered HVAC replacement system manufactured to have minimum efficiency as currently mandated by federal, state or local governments. Guard Plus Add-On Guard Plus Add-On for VIP Package - Increased maximum aggregate limit to $45,000 - Double line item limits - Unknown Pre-existing conditions* - 2nd Air Conditioner/Heating systems - Expanded A/C and Heat Pump coverage** - Tankless and commercial water heaters - Code violations, modifications, disposal and permits - Refrigerator Ice Maker and Beverage Dispenser *Conditions that previously passed a visual or mechanical inspection by a service professional **Upgrades, components or parts for existing air conditioner or heat pump equipment required to maintain compatibility with the covered HVAC replacement system manufactured to have minimum efficiency as currently mandated by federal, state or local governments. Guard Plus Add-On Guard Plus Add-On for VIP Package - Increased maximum aggregate limit to $45,000 - Double line item limits - Unknown Pre-existing conditions* - 2nd Air Conditioner/Heating systems - Expanded A/C and Heat Pump coverage** - Tankless and commercial water heaters - Code violations, modifications, disposal and permits - Refrigerator Ice Maker and Beverage Dispenser *Conditions that previously passed a visual or mechanical inspection by a service professional **Upgrades, components or parts for existing air conditioner or heat pump equipment required to maintain compatibility with the covered HVAC replacement system manufactured to have minimum efficiency as currently mandated by federal, state or local governments. Guard Plus Add-On HiddenGuard Plus Final Optional Coverage for Appliance Package Well Pump Pool and/or Spa Equipment Stand Alone Freezer Second Refrigerator Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for Appliance Package Well Pump Pool and/or Spa Equipment Stand Alone Freezer Second Refrigerator Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for Appliance Package Well Pump Pool and/or Spa Equipment Stand Alone Freezer Second Refrigerator Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for Systems Package Pool and/or Spa Equipment Well Pump Stand Alone Freezer Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Washer/Dryer Combo Second Heating System/Furnace Second Water Heater Second Air Conditioning/Cooler Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for Systems Package Pool and/or Spa Equipment Well Pump Stand Alone Freezer Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Washer/Dryer Combo Second Heating System/Furnace Second Water Heater Second Air Conditioning/Cooler Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for Systems Package Pool and/or Spa Equipment Well Pump Stand Alone Freezer Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Washer/Dryer Combo Second Heating System/Furnace Second Water Heater Second Air Conditioning/Cooler Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for VIP Package Well Pump Pool and/or Spa Equipment Stand Alone Freezer Second Refrigerator Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Second Heating System/Furnace Second Water Heater Second Air Conditioning/Cooler Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for VIP Package Well Pump Pool and/or Spa Equipment Stand Alone Freezer Second Refrigerator Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Second Water Heater Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for VIP Package Well Pump Pool and/or Spa Equipment Stand Alone Freezer Second Refrigerator Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Second Heating System/Furnace Second Water Heater Second Air Conditioning/Cooler Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for VIP Package Well Pump Pool and/or Spa Equipment Stand Alone Freezer Second Refrigerator Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Second Water Heater Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for VIP Package Well Pump Pool and/or Spa Equipment Stand Alone Freezer Second Refrigerator Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Second Heating System/Furnace Second Water Heater Second Air Conditioning/Cooler Exterior Sewer/Septic Line Roof Leak Repair Optional Coverage for VIP Package Well Pump Pool and/or Spa Equipment Stand Alone Freezer Second Refrigerator Additional Inground Spa Septic Tank Pumping Water Softener Salt Water Pool Second Water Heater Exterior Sewer/Septic Line Roof Leak Repair HiddenOptional Coverage Final Coupon HiddenCoupon as a Negative NumberTOTAL PER MONTHTOTAL PER QUARTER (3 MONTHS)TOTAL PER YEARNot Used - Must be Here $0.00 The form requires us to have the "Total" field for us to be able to insert the "Coupon" field.Covered Property InfoProperty Address* Street Address City* State****DelawareGeorgiaIdahoIndianaKansasMaineMarylandMichiganMissouriNew JerseyOhioPennsylvaniaTennesseeZip Code* Property Type*– Fill Out Other Fields –Property Type*– Fill Out Other Fields –Property Type*– Fill Out Other Fields –Property Type*– Fill Out Other Fields –Property Type*– Fill Out Other Fields –Property Type*– Fill Out Other Fields –Property Type*– Fill Out Other Fields –Property Type*– Fill Out Other Fields –Property Type*– Fill Out Other Fields –HiddenProperty Type Final House size is less than 5,000 Sq.Ft.****YesHiddenLead Source HiddenDefault if Lead Source Empty TOTAL PER MONTHTOTAL PER QUARTER (3 MONTHS)TOTAL PER YEARService Contract Agreement* I have read the Terms of the Service Contract and the customer has agreed to the Terms of the Service Contract *By providing a phone number and an email, you agree Guard Home Warranty may contact you at the phone number or email address provided with information about Guard Home Warranty’s products.
