A Whole House Fan Company
Name
Street Address
City
State
ZIP
Phone number
Email Address
Product Select your Product CentricAir 4.0 (ECM) High Efficiency Motor (4164 CFM)QA- Deluxe 4800 (ECM) High-Efficient Whole House Fan 3209 CFM (HVI-916 Certified Airflow Rating)QA- Deluxe 6500 (PSC) Energy Efficient Whole House Fan 4478 CFM (HVI-916 Certified Airflow Rating)QA- Deluxe 5500 (PSC) Energy Efficient Whole House Fan 3945 CFM (HVI-916 Certified Airflow Rating)QA- Deluxe 3300 (PSC) Energy Efficient Whole House Fan 2425 CFM (HVI-916 Certified Airflow Rating)CentricAir 4.0 Energy Saving Whole House Fan (3921 CFM HVI-916 Certified Airflow Rating)Test FanCentricAir 3.4 Energy Saving Whole House Fan 3242 CFM (HVI-916 Certified Airflow Rating)CentricAir 1.5 Energy Saving Whole House Fan 1263 CFM (HVI-916 Certified Airflow Rating)CentricAir 2.7 Energy Saving Whole House Fan 2709 CFM (HVI-916 Certified Airflow Rating)
Control Select your control Adjustable ThermostatDigital Wall TimerOn/Off Remote Control with TimerWired 1 Speed Wall Timer - Compatible with Back Draft DamperWired 2 Speed Wall Switch with Timer & Temperature - Compatible with All DampersWired 3 Speed Wall Switch with Timer & Temperature – Compatible with All DampersWired 2 Speed Wall Switch with Timer1 Speed Smart Wifi Plug - Compatible with Back Draft DamperWireless 1 Speed Remote Control with Timer - Compatible with Back Draft DamperWireless 2 Speed Remote Control with Timer - Compatible with Back Draft DamperWireless 2 Speed Remote Control with Timer & Temperature - Compatible with All DampersWireless 3 Speed Remote Control with Timer – Compatible with Back Draft DamperWireless 3 Speed Remote Control with Timer & Temperature – Compatible with All Dampers
Order Number
Purchase Date
Purchased From Eg. CentricAir.com, Home Depot, Amazon, etc.
Name and Phone Number of Installer If you had someone install your whole house fan, enter their details here.
Notes