2023 NEW Carrier Non-Metro MP Online Enrollment 2023 Carrier NON-METRO Marketing Partner NEW Enrollment Step 1 of 3 33% IMPORTANT! All information below will be used in 2023 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)* Airefco Acct #HVACpartners Acct #Territory Manager*OtherMark BaileyMike BeanJohn BinkleyScott CaldwellTim CampbellJustin HibbardMatt JonesEddie JoyBill MedakRic O'SullivanLevi SeverChris 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 LOCATOR ICONS: Select all that apply (for BryantNorthwest.com locator)* 24 HR Service Commercial Controls Cooling Ductless Financing Heat Pumps Heating IAQ Maintenance Agreements Rebates Repair/Replace Spanish Speaking Warranty 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* First Last Marketing Programs E-Mail* Enter Email Confirm Email Marketing Programs Phone:*Marketing Programs: Should this person receive sales leads?* Yes No Advertising Claims Contact Name* First Last Advertising Claims Contact Email* Enter Email Confirm Email Advertising Claims Contact Mobile*Advertising Claims Contact: Should this person receive sales leads?* Yes No Monthly Report Contact Name* First Last Monthly Report Contact Email* Enter Email Confirm Email Monthly Report Contact Mobile*Monthly Report Contact: 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. WA & ALASKA: Snohomish, King, Pierce, Kitsap & ThurstonOR & SW WA: Multnomah, Washington, Clackamas & ClarkE. WASHINGTON: Spokane County, WAPROGRAM LEVEL SELECTION$15,000 Marketing Funds (Cost is split 50/50 Dealer & Airefco) Net dealer cost = $7,500 ($750/mo for 10 months) $10,000 Metro Funds (Cost is split 50/50 Dealer & Airefco) Net dealer cost = $5,000 ($500/mo for 10 months) $5,000 Metro Funds Cost is split 50/50 Dealer & Airefco) Net Dealer cost = $2,500 ($250/mo for 10 months) $2,500 Metro Funds (Cost is split 50/50 Dealer & Airefco) Net Dealer cost = $1,250 ($125/mo for 10 months) SELECT LEVEL OF PARTICIPATION* PLATINUM $15,000 GOLD $10,000 SILVER $5,000 BRONZE $2,500 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 in the Spring of 2023. OPTION 2: Elect to have Airefco spend 100% of your Non-Metro Funds on Digital Advertising (50% in the Spring + 50% in the Fall 2023).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. Total $0.00 NOTES/COMMENTS NEW - Effective 2024 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 ENROLL, 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.EmailThis field is for validation purposes and should be left unchanged. Δ
