It’s 1am on a cold winter morning
and your heating system
just quit — now what?
Enrollment Form
Yes, I want the protection of a Guardian Care Heating Plan!
Complete this form and return it with your Columbia Gas* payment, or call
toll-free 1-866-967-8035 and mention code SM16. You may also enroll at
www.ColumbiaGasMA.com. Charges will appear on your Columbia Gas
bill (plus applicable tax).
State:
Notice Code: SM16
Select Your Level of Coverage:
$17.57 NEW
Guardian Care Heating Premium
$14.57
Guardian Care Heating Basic
Columbia Gas Account Number (Required)
Name:
We cannot process your enrollment or place charges on your utility
bill without your 10-digit account number.
Address:
City:
Zip:
Phone Number
E-mail:
Signature (Required):
Do not send a check for payment. By signing this form, the charge, plus applicable tax, will be added to your Columbia Gas of Massachusetts bill or a separate
invoice will be issued, depending on your monthly payment history with us. Coverage will begin after the first bill, after receipt of the first payment, or 15 days
after enrollment (whichever is latest). This plan is optional and requires a 12-month commitment. For complete information, including applicable Terms and
Conditions, see the Guardian Care Customer Agreement at www.ColumbiaGasMA.com. You acknowledge that the Plan is subject to the Terms and Conditions.
Customers receiving Fuel Assistance may be eligible for free for discounted products and services through their local Community Action Program (CAP).
For questions or to see if you qualify, please contact your local CAP agency.
*Guardian Care is an optional service provided by Columbia Gas.
SM16_SnugglyFamily_HTG_Bill Insert_v8.indd 2
7/24/2012 1:05:18 PM
Without warning, your
heating system could fail
on a cold winter night.
You’ve got two choices when faced
with an unforeseen heating system
failure: Search online or through the
phone book trying to find someone
and hope they’re reliable, or make
one phone call to Columbia Gas of
Massachusetts.
Typical Heating Repair Costs
Be prepared for unexpected break downs.
Every year prior to the start of the heating season, it is a good idea for
homeowners to check whether they have a service plan for their furnace or
boiler. Your heating system has hundreds of parts, and when the cold weather
arrives it will cycle on and off in order to maintain the temperature setting in your
home. This added strain can cause one or more of these parts to break down
without warning, meaning you could be faced with no way to heat your home.
Choose the Guardian Care Heating plan that’s right for you
Replace blower:
$625.00
Heating Basic
Benefits
Heating Premium
Benefits
With Guardian Care You’re Covered!
Coverage per rolling
12-month period
$1,500
$2,500
Replace faulty
circuit board:
Access to our toll-free
repair hotline


$415.00
With Guardian Care. You’re Covered!
Reimbursement for
excluded parts

Gas valve repair
with parts & labor:
High efficiency
equipment covered

$295.00
With Guardian Care You’re Covered!
SM16_SnugglyFamily_HTG_Bill Insert_v8.indd 1
Monthly charge
$14.57
NEW
$17.57
MA Master Plumber License #8697 | MA Master Gas License #3745 | MA Master Sheet Metal License #441
7/24/2012 1:03:29 PM
It’s 1am on a cold winter morning
and your heating system
just quit — now what?
Enrollment Form
Yes, I want the protection of a Guardian Care Heating Plan!
Complete this form and return it with your Columbia Gas* payment, or call
toll-free 1-866-967-8035 and mention code SM16. You may also enroll at
www.ColumbiaGasMA.com. Charges will appear on your Columbia Gas
bill (plus applicable tax).
Guardian Care Heating Basic
$14.57
Guardian Care Heating Premium
$17.57 NEW
We cannot process your enrollment or place charges on your utility
bill without your 10-digit account number.
Address:
E-mail:
Select Your Level of Coverage:
Columbia Gas Account Number (Required)
Name:
City:
Notice Code: SM16
State:
Zip:
Phone Number
Signature (Required):
Do not send a check for payment. By signing this form, the charge, plus applicable tax, will be added to your Columbia Gas of Massachusetts bill or a separate
invoice will be issued, depending on your monthly payment history with us. Coverage will begin after the first bill, after receipt of the first payment, or 15 days
after enrollment (whichever is latest). This plan is optional and requires a 12-month commitment. For complete information, including applicable Terms and
Conditions, see the Guardian Care Customer Agreement at www.ColumbiaGasMA.com. You acknowledge that the Plan is subject to the Terms and Conditions.
Customers receiving Fuel Assistance may be eligible for free for discounted products and services through their local Community Action Program (CAP).
For questions or to see if you qualify, please contact your local CAP agency.
*Guardian Care is an optional service provided by Columbia Gas.
SM16_SnugglyFamily_HTG_Bill Insert_v8.indd 2
7/24/2012 1:05:18 PM