Address:

City:

Province:
AB BC MB NB NL NS NT NU ON PE QC SK YT

Postal Code:

Email Address:

Telephone Number:

Are you planning on replacing your unit? If yes, when?
Immediately 3 months 6 months 1 year 2 years No, I am not replacing my unit

What type of unit are you interested in purchasing?
Heat pump Geothermal heat pump Electric furnace Gas furnace or fan coil Air conditioner Ductless unit Ventilator Humidifier Air purifier or air cleaner

Where did you see our campaign?
Postcard by mail Brochure by mail Home or Trade Show Website Web banner Email Newspaper Magazine Radio Television

	I would like to learn more. Please have a Comfort expert contact me.
	I would like to arrange for a free, no-commitment visit from a Comfort expert. On which days do you prefer to be reached? Mon     Tue     Wed     Thu     Fri     Sat     Any day     At which time do you prefer to be reached? Morning     Afternoon     Evening     Anytime     Type security code Security code