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Plans & Pricing
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Plan Name
*
Free Membership
Home Warranty
Name
*
First
Last
Email
*
Phone
*
How did you hear about HomeMembership?
*
Select an option
HM YouTube Channel
YouTube Video Ad
Social Media
Google
Better Business Bureau
Other Member
Sales Representative
Other Agent
Affiliate
Print Ad
Radio
Email
Voicemail
Affiliate
Inspection Company
Insurance Agency
Affiliate Code
*
What Social Media Platform?
What was the Member's Name?
What was the Sales Representative's Name?
What was the Insurance Agent's Name?
What was the Other Agent's Name?
Would you like to add additional coverage?
Select the items below you would like to add to your plan.
Pool (Fresh Water Only) ($600 Total Agg. Limit)
Pool
+ $11.92
Yes
Septic ($500 Total Agg. Limit)
Septic Tank
+ $9.75
Yes
Roof ($450 Total Agg. Limit)
Roof
+ $8.67
each
Yes
Radon Fan ($400 Total Agg. Limit)
Radon Fan
+ $7.58
each
Yes
Deep Freezer ($400 Total Agg. Limit)*
Deep Freezer
+ $7.58
each
Yes
Water Softener ($400 Total Agg. Limit)*
Water Softener
+ $7.58
each
Yes
Make sure you are properly covered!
If you have more than one of the units listed below, please add for coverage to apply.
Additional HVAC Units
Additional HVAC Units
$13.00
each
0
1
2
3
4
5
6
7
8
9
10
Additional Water Heaters
Additional Water Heaters
$10.30
each
0
1
2
3
4
5
6
7
8
9
10
Additional Refrigerator
Additional Refrigerators
$9.75
each
0
1
2
3
4
5
6
7
8
9
10
Additional Dishwasher
Additional Dishwashers
$7.00
each
0
1
2
3
4
5
6
7
8
9
10
Additional Stove
Additional Stoves
$7.00
each
0
1
2
3
4
5
6
7
8
9
10
Additional Washer
Additional Washers
$7.00
each
0
1
2
3
4
5
6
7
8
9
10
Additional Dryer
Additional Dryers
$7.00
each
0
1
2
3
4
5
6
7
8
9
10
Would you like to double your coverage?
On appliances, plumbing, and electrical only
Add $18,345 in Additional Coverage
Add $18,345 in Additional Coverage
+ $32.50
Yes
Property To Be Covered
Property Address
*
Street Address
Unit #
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Size
*
Less than 5,000 square feet
5,000 - 5,999 square feet
6,000 - 6,999 square feet
Greater than 7,000 square feet
AoS Product
Price:
$0.00
Total
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Subtotal
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