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Is your current water heater storage or tankless?StorageTankless

Are you the homeowner?

Age of Home *

Full Name *

Phone *

Preferred time for call-back

Email Address *

Street Address *

City *

ZIP / Postal Code *

Reference # *

Message

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.

Home Assessment - Check All that Apply

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