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Home Assessment - Check All that Apply
Furnace Age 8+ years
Air Conditioner Age 8+ years
Water Heater 8+ years
Windows + Doors 15+ years
Insulation 15+ years
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?
Are there any issues with your air quality?
Is your current water heater storage or tankless?
Are you the homeowner?
Age of Home
Preferred time for call-back
ZIP / Postal Code
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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”), 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, 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.