Chiller City Refrigerant Logo
 Chiller City Corporation
563 West 3rd Ave.
Mesa, AZ 85210-1246 USA
Toll-Free: 877-244-5501
Voice: 480-889-1092
Fax: 602-532-7545
[ Para Español, Haga Clic Aquí ]

Refrigerant Purchase Certification
Certify Eligibility to Purchase Refrigerant

EPA Section 608 states the following:

Wholesalers that sell refrigerant for resale are legally responsible for ensuring that their customers fit into one of the categories of allowed purchasers under the sales restriction. Although the regulation does not specify precautions that wholesalers must take to verify the intent of individuals purchasing refrigerant, EPA recommends that wholesalers obtain a signed statement from the purchaser indicating that he or she is purchasing the refrigerant only for eventual resale to certified technicians. You can learn more by clicking here.
[ PDF and Web Printable Versions Available Here ]
Certification:

First Name:
Last Name:
Company Name (optional):
Street Address:
City:
State:
Zip:
Ebay Username:
E-Mail Address:
Contact Phone:
Contact Fax (optional):
Additional information
By checking this I certify that all the information above is true to the best of my knowledge.
From time to time (less than once per month) we send out special offers to our existing customers. If you would like to receive those emails, please check the box to the left. We will not resell your information or use it for any other purpose.

Privacy: All information submitted on this site is for the sole use of Chiller City Corporation for business purposes.  No information on this site will EVER be distributed to third parties without your express consent.

Valid XHTML 1.0 Transitional Valid CSS!