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Home Assessment - Check All that Apply
Have you had any flooding since you've owned the home?
Is there no existing backwater valve/sump pump installed?
Is there no existing Water Filtration installed?
Insulation 15+ years
Windows + Doors 15+ years
Are there any issues with your air quality?
Furnace Age 8+ years
Air Conditioner Age 8+ years
Water Heater 8+ years
Have you considered getting solar?
Is your current water heater storage or tankless?
Storage
Tankless
Are you the homeowner?
Yes
No
Age of Home
*
Please select an option
10-20 years
20-30 years
30-40 years
40+ years
Full Name
*
Phone
*
Preferred time for call-back
Morning
Afternoon
Evening
Email Address
*
Street Address
*
City
*
ZIP / Postal Code
*
Reference #
*
Message
No Signature
By completing this request I hereby consent to the collection and use of such information only for the purposes of being contacted by Canadian GreenHome Network (“GHN”), Energy Experts, Brawn Bros Heating and Cooling Solutions Ltd., and/or its Ontario network partners (collectively, “Partners”) about their programs including air sealing, insulation, windows/doors, water filtration, solar power products, and heating and cooling solutions such as furnace, air conditioning, heat pumps, and water heating products and services (collectively, “Goods and Services”). I hereby consent to, and request that, GHN and its Partners contact me to discuss their products and solutions, and to schedule a time for a Partner representative to attend my dwelling for the express purpose of entering into an agreement and/or to discuss purchase options for one or more Goods and Services. I acknowledge and agree that I have no obligation whatsoever to enter into an agreement with any Partners.
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