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Select a Service *

HVAC Unit
Water Heater

Select the Branch *

How did you hear about the ARS Cares Program? *

Your Name *

Your Email *

Your Phone Number *

How do you know the nominee? *

Nominee First Name *

Nominee Last Name *

Nominee Email *

Nominee Phone Number *

Street Address *

Address Line 2

City *

State *

Postal / Zip Code *

Does the nominee own their home? *

Yes, nominee owns
No, nominee rents

Why do you feel this individual should be selected to receive a new heating and cooling system or water heater from ARS/Rescue Rooter? *

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