Home Services document template

Home Care Plan Enrollment

A membership you join, not a service you request: Bronze/Silver/Gold tiers priced up front, a checkmark benefits stack, an equipment table with counted additional systems, a billing-authorization box with anniversary renewals, two initialed clauses, and a wallet-card office block at the bottom.

  • Three membership tiers with real club math — waived diagnostics, banked credits
  • Equipment table: two systems included, extras counted at a per-unit price
  • Auto-renew disclosure and use-your-visits clause each carry an initials box
  • Billing authorization with anniversary-date renewals and an ACH note
  • Wallet-card block for member number, plan, and priority line
Letter (8.5" × 11")Half sheet (8.5" × 5.5")12 fields2 pages
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Preview of this template's first page, drawn from the real layout. Your logo, company details, prices, and every field are editable in the Doc Builder.

What's on the document

Sections

  1. 1CHOOSE YOUR MEMBERSHIP
  2. 2THE EQUIPMENT ON YOUR PLAN
  3. 3BILLING AUTHORIZATION

Built-in pricing

  • BRONZE — $129
  • SILVER — $219
  • GOLD — $329
  • Additional systems — $59 each
  • Add the annual water-heater flush — $49

Sample prices — edit every amount in the builder. Selections feed a live total.

Smart behavior

  • Heat pumps surface the year-round note
  • Bank draft shows the revocation note
  • Gold members must initial the renewal clause
  • Water-heater systems suggest the flush add-on

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