Enroll

*Required fields

*Bay State Gas Acct #:
*First Name:
*Last Name:
*Address:
*City:
*State:	Select One MA NH  (not available in Maine)
*ZIP:
*Phone:
Fax:
*E-Mail address:

Guardian Care Plan Options:
Heating System only - $147.95
Heating System and Water Heater - $162.95
Central Cooling System only - $124.95
Heating and Cooling Systems - $241.95
Total Care (heating, cooling and water heater) - $254.95
 Guardian Care Plan - Gas Line Protection - $23.88
     (Heating system coverage not required for purchase.)

Payment Option (choose one):
One payment
Three consecutive monthly payments *
12 consecutive monthly payments *

* Subject to the approval of the company's credit office. Customers are responsible for the total annual cost of the plan.   A charge of $1.00 per payment will be applied to the 3 and 12 consecutive monthly payment options.  

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Furnace/boiler manufacturer:
Model # :
Serial # :
Water heater manufacturer:
Model # :
Serial # :
Comments/questions
Plan coverage will become effective 15 days after receipt of your application. Please see Guardian Care Repair Service Terms and Conditions for this and other important plan provisions.