Kulp Gives Back - Roofing Giveaway Submission Form

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From April 17 through May 28, 2022, we encourage local residents to nominate a family in need of a roof replacement and gutter installation (including a leaf protection system) at no cost to the family. The family must reside in our service area which includes the counties of Berks, Bucks, Carbon, Lehigh, Monroe, Montgomery, Northampton, and Schuylkill.

The following form must be filled out completely to be eligible for nomination. Your entry must outline why this family deserves this makeover.

Giveaway Timing:

• Entries: April 17 – May 31, 2022
• Judging: June 1 – June 11, 2022
• Winner Selected: June 17, 2022
• Winner Confirmation By: July 1, 2022
• Winner Receives Award: July 8, 2022
• Can Request Winner by Mail: August 1, 2022
• Job Completion: October 31, 2022

For a full list of rules please visit: https://kulproofing.com/wp-content/uploads/2022/03/Kulp-Gives-Back-Contest-Rules-2022.pdf

Thank You to Our Sponsors!

Nominee's First Name *

Nominee's Last Name *

Nominee's Street Address *

Nominee's City, State, ZIP *

Nominee's County *

Nominee's Phone Number *

Nominee's Email Address *

NOMINATOR'S First Name *

NOMINATOR'S Last Name *

NOMINATOR'S Phone Number *

NOMINATOR'S Email Address *

How did you hear about this promotion?

Submission detailing why this family is a deserving recipient of this giveaway: *

Submit

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