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* 1. Do you rent or own your home?

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* 2. Do you have heating and air conditioning in your home currently?

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* 3. If yes, how often do you change/clean your filters?

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* 4. Would you like to win $500?

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* 5. What is the approximate age of your home?

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* 6. What is the primary heating source for your home?

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* 7. Please enter your full name.

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* 9. Please enter your phone number.

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* 10. Please enter your home address.

By completing this survey you give permission for us to call/text/email you directly in regards to your potential winnings or our services that we provide.

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