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FIRST NAME*

LAST NAME *

BUSINESS NAME *

BUSINESS EMAIL *

Business Mailing Address
(unable to deliver to a PO Box)*

CITY *

STATE/PROVINCE*

ZIP*

JOB ROLE*

JOB FUNCTION*

SALES CHANNEL*

CONTRACTOR TYPE*

NUMBER OF TRUCKS*

What industry / industries do you serve? (Please select all that apply)

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By clicking submit below and providing my information to Copeland, I acknowledge that I am eligitable to participate in the promotion, agree to abide by the rules for participation , and agree to receive periodic email communication from Copeland, LP. Submission is subject to our Privacy Notice and Terms of Use. The promotion is limited to HVAC contractors residing in the United States and one flashlight per participant.