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Logic HVAC/R Annual Furnace Giveaway Nomination Form
Please fill out all information below to enter the giveaway.
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* Indicates required question
Email
*
Your email
Nominator's Information
Your Name
*
Your answer
Nominator's Information
Contact Number
*
Your answer
Relationship to Nominee:
*
Choose
Family
Friend
Neighbor
Colleague
Other
Nominee's Information
Nominee's Name
*
Your answer
Nominee's Information
Nominee's Contact Number
*
Your answer
Nominee's Information
Nominee's Primary Home Address
*
Your answer
Is the Nominee the Homeowner?
*
Choose
Yes
No
Unsure
Why does the nominee deserve a new furnace?
(150 words or less)
*
Your answer
Does the nominee currently have a working furnace?
*
Choose
Yes
No
Unsure
Does not own a furnace.
Any additional comments or information you'd like to share?
Your answer
Terms and Conditions
I confirm that all information provided is accurate and true to the best of my knowledge. I understand that incomplete or inaccurate submissions may be disqualified.
*
Yes
Required
Submit
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