2024 NEW Carrier Non-Metro MP Online Enrollment 2024 Carrier NON-METRO Marketing Partner - NEW ENROLLMENT Step 1 of 3 33% IMPORTANT! All information below will be used in 2024 Advertising. You are responsible for the accuracy of this information, and any re-production necessary as a result of incorrectly provided information will be billed to you.COMPANY INFORMATIONPlease carefully enter all information requested below. Once all information is accurate entered, indicate the Program Level you will be participating in and click the SUBMIT button.Company Name (as it should appear on all advertising)* Billing Acct #HVACpartners Acct #Territory Manager*OtherMark BaileyMike BeanJohn BinkleyScott CaldwellTim CampbellJustin HibbardNathan HowardMatt JonesEddie JoyBill MedakLayne NorrisRic O'SullivanLevi SeverMike ShawChris SmithKC WilsonContact Name (Person we should contact if we have any questions regarding your enrollment)* First Last Contact Email* Enter Email Confirm Email Website* Business License #* Business Phone*Business FaxAdvertising Address (as it should appear in all advertising)* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address (if different from Advertising Address) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code WWW.CARRIERNORTHWEST.COMThe following information is required to properly list your company information on our local dealer locator www.CarrierNorthwest.com.EMAIL(S) leads from www.CarrierNorthwest.com should be sent to. Separate with a semi colon ";" if more than one email is required.* LOCATOR ICONS: Select all that apply (for CarrierNorthwest.com locator)* 24 HR Service Commercial Controls Cooling Ductless Financing Heat Pumps Heating IAQ Maintenance Agreements Rebates Repair/Replace Spanish Speaking Warranty LOGO: Please upload the logo you want us to use on all advertising.*Accepted file types: jpg, jpeg, png, gif.SERVICE ZIP CODESList the top 5 zip codes in your service area.#1 TOP SERVICE ZIP CODE:* #2 TOP SERVICE ZIP CODE:* #3 TOP SERVICE ZIP CODE:* #4 TOP SERVICE ZIP CODE:* #5 TOP SERVICE ZIP CODE:* ADDITIONAL SERVICE ZIP CODES: List any other zip codes in your service area. Please use a comma to seperate each. MARKETING COMMUNICATIONLet us know who should receive marketing communication.Principal 1 Name* First Last Principal 1 Email* Enter Email Confirm Email Principal 1 Mobile*Principal 1: Should this person receive sales leads?* Yes No Principal 2 Name First Last Principal 2 Email Enter Email Confirm Email Principal 2 MobilePrincipal 2: Should this person receive sales leads? Yes No Marketing Programs Contact 1* First Last Marketing Programs E-Mail 1* Enter Email Confirm Email Marketing Programs Phone 1*Marketing Programs 1: Should this person receive sales leads?* Yes No Marketing Programs Contact 2 First Last Marketing Programs E-Mail 2 Enter Email Confirm Email Marketing Programs Phone 2Marketing Programs 2: Should this person receive sales leads? Yes No Advertising Claims Contact Name 1* First Last Advertising Claims Contact Email 1* Enter Email Confirm Email Advertising Claims Contact Mobile 1*Advertising Claims Contact 1: Should this person receive sales leads?* Yes No Advertising Claims Contact Name 2 First Last Advertising Claims Contact Email 2 Enter Email Confirm Email Advertising Claims Contact Mobile 2Advertising Claims Contact 2: Should this person receive sales leads? Yes No Other Report Contact Name 1* First Last Other Report Contact Email 1* Enter Email Confirm Email Other Report Contact Mobile 1*Other Report Contact 1: Should this person receive sales leads?* Yes No Other Report Contact Name 2 First Last Other Report Contact Email 2 Enter Email Confirm Email Other Report Contact Mobile 2Other Report Contact 2: Should this person receive sales leads? Yes No PROGRAM ELIGIBILITY (Metro vs Non-Metro)Dealers located in areas outside of the following counties are considered “non-metro” and are eligible to participate in the Non-Metro Marketing Partners Program:W. WASHINGTON & ALASKA: Snohomish, King, Pierce, Kitsap & ThurstonOREGON & SW WASHINGTON: Multnomah, Washington, Clackamas & ClarkE. WASHINGTON & Mountain States: Spokane County, WAPROGRAM LEVEL SELECTION$16,000 Marketing Funds (Cost is split 50/50 Dealer & Airefco) Net dealer cost = $8,000 ($800/mo for 10 months) $11,000 Metro Funds (Cost is split 50/50 Dealer & Airefco) Net dealer cost = $5,500 ($550/mo for 10 months) $6,000 Metro Funds Cost is split 50/50 Dealer & Airefco) Net Dealer cost = $3,000 ($300/mo for 10 months) $3,000 Metro Funds (Cost is split 50/50 Dealer & Airefco) Net Dealer cost = $1,500 ($150/mo for 10 months) SELECT LEVEL OF PARTICIPATION* PLATINUM $16,000 GOLD $11,000 SILVER $6,000 BRONZE $3,000 Would you like Airefco to place digital advertising on your behalf? OPTION 1: Elect to have Airefco spend 50% of your Non-Metro Funds on Digital Advertising. OPTION 2: Elect to have Airefco spend 100% of your Non-Metro Funds on Digital Advertising.MARKETING FUNDS:* No, thank you. I have a plan and will spend my Non-Metro Funds on my own. Yes, please spend 50% of my Non-Metro Funds on Digital Advertising. Yes, please spend 100% of my Non-Metro Funds of Digital Advertising. Receive additional marketing funds when you take advantage of the following opportunities. Funds are in addition to/above and beyond the Marketing Partner package you select. Must be a Marketing Partner.BONUS FUNDS (Dealer 50%/Airefco 50%/Factory 50%)*We’ll split the cost and have someone reach out to you to get started. Funds are in addition to funds provided with package selected above.JumpStart: $2,000 (Dealer 50%/Airefco 50%/Factory 50%)EGIA Contractor University: $4,000 (Dealer 50%/Airefco 50%/Factory 50%)Sign me up for both, JumpStart $2,000 & EGIA $4,000 (Dealer 50%/Airefco 50%/Factory 50%)Not interested at this time.TOTAL $0.00 NOTES/COMMENTS Automatic Marketing Partner Renewal. Marketing Partner agreements will be automatically renewed annually. Dealers will be billed monthly in ten (10) equal payments. You agree that no prior notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 30 days prior to the payment being collected. By clicking on SUBMIT ENROLLMENT, you acknowledge that all the information provided on this form is accurate and that your dealership will be billed accordingly. You also understand that this authorization will remain in effect until you cancel it in writing, and you agree to notify Airefco Marketing in writing of any changes to your account information or termination of this authorization no less than 30 days prior to the next billing date.PhoneThis field is for validation purposes and should be left unchanged.
