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2. 1. Home
   2. Business

   If both, please fill out one application for each.
4. First Name
5. Middle Initial
6. Last Name
8. Business / Organization
10. Address
12. Greenville, TX
13. Zip Code
15. Phone Number
16. Alternate Phone
18. E-mail
20. Address Where Product Installed

    If the installed location is different than the billing address. Please complete this field.

22. City
23. State
24. Zip Code
26. Add Attachment
    Proof of purchase required. Attach receipt here.
28. Plan to participate in

    1. Lighting
    2. Holiday Lighting

    1. Thermostat
    2. Appliance

    1. Attic Insulation(Preferred Vendor Required)
30. Select Contractor(s) from GEUS approved vendor list
    -- Select One --Armstrong ApplianceCrawford- Smith, Inc.Curtis ApplianceDuncan Electrical Contractors, Inc.Forbes Air Conditioning & HeatingGreenville Heat & Air, Inc.Home DepotKen Parker Service, Inc.Lowe'sRED-E Air, Air Conditioning & HeatingTri-County Insulation
32. Vendor details are available on Savvy Consumer main page
    Savvy Approved Vendor List
34. How did you hear about Savvy Consumer?

    1. Print ad
    2. TV

    1. Radio
    2. Website

    1. Referral
36. Referred by
38. GEUS is happy to provide a list of approved vendors. There is no implied warranty by GEUS for work performed and / or satisfaction to our mutual customer. All work and billing transactions are between the GEUS customer and his / her chosen contractor. This program can be modified and / or canceled at any time by GEUS.
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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit Submit and Print

* indicates a required field