Thank you for joining CLEANR and sharing your experience with others. Fill out this form and our team will be in touch to gift you a free box of CLEANR Pods.
Upon submitting this form, CLEANR may share your first name, city, review, and uploaded picture on our website www.cleanr.life. If you have any questions or issues, please reach out at support@cleanr.life.

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* 1. What is your first name?

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* 2. What is your last name?
(This will not be listed publicly with your review.)

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* 3. Please share the location (city and state) of your CLEANR.
Ex: Cleveland, OH

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* 4. How do you rate your CLEANR Filter experience?
A 5-star rating helps support CLEANR's mission!

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* 5. Would you recommend CLEANR to others?
If YES... don't forget to give your friends 20% off with code "Referral20"

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* 6. Please leave a short 1-3 sentence review.
We are so excited to hear about your experience! Topics can include installation, cleaning experience, why you wanted a CLEANR for your home, or anything you want to share.

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* 7. How does your CLEANR look?
Say cheese and send us a #selfie with your CLEANR!

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 8. Is there anything else you'd like to share with us?

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