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* 1. What is the first and last name of the person you're nominating?

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* 2. What is the full address of the nominee (street, city, state, ZIP code)?

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* 3. What is the best contact information for the nominee? Phone or email (Please include at least one.)

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* 4. What is your name (first and last)?

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* 5. What is your phone number and/or email address? (Please include at least one.)

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* 6. Please share the story of why you believe this nominee is in need of a free Water Heater installation.

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* 7. Does the nominee currently own the home at the address provided? (In order to receive the giveaway they must own the home)

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* 8. Would you be willing to be contacted for additional information?

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* 9. I understand that Terms and Conditions apply and that I can receive these upon requesting from the company

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