Qualified Conversation Type(Required)Face to FacePhone CallUpsell OpportunityProposal DeliveredPMA discussionConsult / AssessmentSystem QuoteChannel Partnership / Business DevelopmentClient InformationName(Required) First Middle Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zipcode System DetailsType of HVAC(Required)Central ACHeat PumpFurnaceMini-SplitDuctlessPackage UnitWallWindow UnitSwamp CoolerBoilerRadiatorNot SureAge of System(Required)1 - 3 years4 - 7 years8 - 12 years13+ yearsNot SureDecision Maker present?(Required)YesNoQualificationLead Source(Required)Google Local Services AdsGoogle MapsGoogle SearchFacebookInstagramThumbtackNextdoorWebsiteDoor to DoorReferralMailer / Door tagOtherTech Name(Required)Ben KatzenmeyerJoseph KimeBen Katzenmeyer / Joseph KimeTech Notes(Required)Estimated Price(Required)$0 – $199 (Minor Diagnostic or Tune-Up)$200 – $499 (Repair - Basic Part or Labor)$500 – $999 (Major Repair - Coil, Board, Motor, etc.)$1,000 – $2,499 (Compressor, Ducting, or Partial System Work)$2,500 – $4,999 (Mid-Tier Replacement or Upgrade)$5,000 – $7,499 (Full System - Basic Efficiency)$7,500 – $9,999 (Full System - High Efficiency, Multi-Zone, or Add-Ons)$10,000 - $14,999 (Full System - High Efficiency, Multi-Zone, or Add-Ons)$15.000 – $19,999 (Full System - High Efficiency, Multi-Zone, or Add-Ons)$20,000+ (Full System - High Efficiency, Multi-Zone, or Add-Ons)Estimated Revenue(Required)Next StepsNext Steps(Required)Waiting on Customer (Follow-Ups)Complete Service Work (No Job)Booked JobPriority(Required)HighModerateLow