cohomeowners.freeheatpump.com
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67.227.170.36
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URL:
https://cohomeowners.freeheatpump.com/
Submission: On June 14 via api from US — Scanned from DE
Submission: On June 14 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
GET https://cohomeowners.freeheatpump.com/
<form role="search" method="get" class="searchform wpex-relative" action="https://cohomeowners.freeheatpump.com/">
<label class="searchform-label wpex-text-current wpex-block wpex-m-0 wpex-p-0">
<span class="screen-reader-text">Search</span>
<input type="search" class="searchform-input field" name="s" placeholder="Search" autocomplete="off">
</label>
<button type="submit" class="searchform-submit"><span class="ticon ticon-search" aria-hidden="true"></span><span class="screen-reader-text">Submit</span></button>
</form>POST https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8&orgId=00DHp000003SDAr
<form class="wtlform" action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8&orgId=00DHp000003SDAr" method="POST">
<div class="wtlform-input wtlform-col-12">
<input type="hidden" name="oid" value="00DHp000003SDAr">
<input type="hidden" name="retURL" value="https://freeheatpump.com/thank-you-homeowner/ ">
<!-- ---------------------------------------------------------------------- -->
<!-- NOTE: These fields are optional debugging elements. Please uncomment -->
<!-- these lines if you wish to test in debug mode. -->
<!-- <input type="hidden" name="debug" value=1> -->
<!-- <input type="hidden" name="debugEmail" -->
<!-- value="freeheatpump@fastslowmotion.com"> -->
<!-- ---------------------------------------------------------------------- -->
<label>Do you own or rent your home?</label><br><select id="00NHp00000iu8mc" name="00NHp00000iu8mc" title="Own or Rent?">
<option value="">--None--</option>
<option value="I Own My Home">I Own My Home</option>
<option value="I Rent My Home">I Rent My Home</option>
<option value="I Am a Landlord (single family home)">I Am a Landlord (single family home)</option>
<option value="I Manage a Multifamily Property">I Manage a Multifamily Property</option>
</select>
</div>
<div class="wtlform-input wtlform-col-6">
<label for="first_name">First Name</label><br><input id="first_name" maxlength="40" name="first_name" size="20" type="text">
</div>
<div class="wtlform-input wtlform-col-6">
<label for="last_name">Last Name</label><br><input id="last_name" maxlength="80" name="last_name" size="20" type="text" required="true">
</div>
<div class="wtlform-input wtlform-col-12">
<label for="email">Email Address</label><br><input id="email" maxlength="80" name="email" size="20" type="email" required="true">
</div>
<div class="wtlform-input wtlform-col-12">
<label for="street">Street</label><br><textarea name="street"></textarea>
</div>
<div class="wtlform-input wtlform-col-6">
<label for="city">City</label><br><input id="city" maxlength="40" name="city" size="20" type="text">
</div>
<div class="wtlform-input wtlform-col-6">
<label for="state_code">State/Province</label><br>
<select id="state_code" name="state_code">
<option value="">--None--</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
<div class="wtlform-input wtlform-col-6">
<label for="zip">Zip</label><br><input id="zip" maxlength="20" name="zip" size="20" type="text">
<input id="country_code" name="country_code" value="US" type="hidden">
</div>
<!-- div class="wtlform-input wtlform-col-6">
<label for="country_code">Country</label><br/><select id="country_code" name="country_code"><option value="US">United States</option>
</select>
</div -->
<div class="wtlform-input wtlform-col-6">
<label for="phone">Home Phone</label><br><input id="phone" maxlength="40" name="phone" size="20" type="text">
</div>
<div class="wtlform-input wtlform-col-6">
<label>How Many People Live In Your Home?</label><br>
<select id="00NHp00000iu8mm" name="00NHp00000iu8mm" title="Number of People in Home">
<option value="">--None--</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
</select>
</div>
<div class="wtlform-input wtlform-col-12">
<label>Is Someone In Your Home Enrolled in any of the below programs?</label> <br> (If you are enrolled in any of these programs your income automatically qualifies for the appliance rebate program) <br>
<label><input id="00NHp00000iu8nB" name="00NHp00000iu8nB" type="checkbox" value="1"> Medicaid</label><br>
<label><input id="00NHp00000iu8GB" name="00NHp00000iu8GB" type="checkbox" value="1"> Supplemental Security Income (SSI)</label><br>
<label><input id="00NHp00000iu8nL" name="00NHp00000iu8nL" type="checkbox" value="1"> SNAP</label><br>
<label><input id="00NHp00000iu8rY" name="00NHp00000iu8rY" type="checkbox" value="1"> National School Lunch Program – Free</label><br>
<label><input id="00NHp00000iu8rd" name="00NHp00000iu8rd" type="checkbox" value="1"> WIC</label><br>
<label><input id="00NHp00000iu8ri" name="00NHp00000iu8ri" type="checkbox" value="1"> Housing Improvement Program (WIP)</label><br>
</div>
<div class="wtlform-input wtlform-col-12">
<label>What is the estimated annual income for your household (include all household members)?</label> <br>
<input id="00NHp00000iu8wA" name="00NHp00000iu8wA" size="20" type="text">
</div>
<div class="wtlform-input wtlform-col-12">
<label>How is your home heated currently?</label><br>
<select id="00NHp00000iu5wE" name="00NHp00000iu5wE" title="Current Home Heating Type">
<option value="">--None--</option>
<option value="Gas (furnace or boiler)">Gas (furnace or boiler)</option>
<option value="Oil (furnace or boiler)">Oil (furnace or boiler)</option>
<option value="Electric heat pump">Electric heat pump</option>
<option value="Other Electric (baseboard, electric furnace, etc.)">Other Electric (baseboard, electric furnace, etc.)</option>
<option value="I don’t know">I don’t know</option>
</select>
</div>
<div class="wtlform-input wtlform-col-12">
<label>What is the square footage of your household (if you don’t know, give an estimate)?</label><br>
<select id="00NHp00000iu90N" name="00NHp00000iu90N" title="Household Square Footage (est.)">
<option value="">--None--</option>
<option value="Less than 1,000 square feet">Less than 1,000 square feet</option>
<option value="1,000 – 1,500 square feet">1,000 – 1,500 square feet</option>
<option value="1,500 – 2,000 square feet">1,500 – 2,000 square feet</option>
<option value="More than 2,000 square feet">More than 2,000 square feet</option>
</select>
</div>
<div class="wtlform-input wtlform-col-12">
<label><input id="00NHp00000iu80r" name="00NHp00000iu80r" type="checkbox" value="1"> Do you pay a gas bill each month?</label>
</div>
<div class="wtlform-input wtlform-col-12">
<label><input id="00NHp00000iu90S" name="00NHp00000iu90S" type="checkbox" value="1"> Do you also have a gas stove, cooktop, oven, or range that you would like to upgrade to an electric appliance?</label>
</div>
<div class="wtlform-input wtlform-col-12">
<label><input id="00NHp00000iu94f" name="00NHp00000iu94f" type="checkbox" value="1"> Are you also interested in receiving a new electric clothes dryer?</label>
</div>
<div class="wtlform-input wtlform-col-12">
<label><input id="00NHp00000iu94k" name="00NHp00000iu94k" type="checkbox" value="1"> Do you currently have a clothes dryer in the home with a vent to the outside?</label>
</div>
<div class="wtlform-input wtlform-col-12" style="text-align:center">
<input type="hidden" name="lead_source" value="Web-to-Lead form">
<input type="hidden" name="00NHp00000lArmN" value="Homeowner">
<input type="submit" name="submit" value="Submit">
</div>
</form>Text Content
Skip to content Qualify Now Qualify Now Search Submit Determine whether you qualify for a FREE $14,000 energy upgrade to make the switch and replace a heat pump for your home. Take the first step towards improving the value and comfort of your home today. Unlock Up to $14,000 in Savings Complete Our Short Questionnaire Get up to $14,000 with heat pump replacement assistance for homeowners. Take advantage of the latest efficiency rebate program for homeowners and get a FREE energy upgrade for your home. Qualify Now Slash Your Energy Bills with a Free Heat Pump GET QUALIFIED FOR COLORADO’S EFFICIENCY REBATE PROGRAM Tired of sky-high energy bills? The Inflation Reduction Act and local heat pump replacement tax incentives can help. As a Colorado homeowner, you can now qualify for up to $14,000 to upgrade your home with brand-new, energy-efficient appliances. Heat pumps provide both heating and cooling, keeping you comfortable year-round while dramatically reducing your energy usage. 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FreeHeatPump.com helps you make the switch and start saving today! * Gas Bills * Power Bills * Improve Your Home’s Value * Go Green GAS BILLS How to Save Money on Gas Bills If you’re wondering how to save money on utilities—why not get rid of one entirely? Heat pumps rely on electricity to move existing heat outside your home in the summer and back inside during winter. Switch from gas to electric heat pumps, stoves, dryers, and more to slash energy bills. Save Your Spot Today! POWER BILLS How to Save Money on Power Bills Heat pumps are a clever technology that uses less electricity than traditional heating and cooling systems, translating to significant savings. Stay cool in the summer and toasty warm in the winter for FREE when you qualify for heat pump replacement support! Save Your Spot Today! IMPROVE YOUR HOME’S VALUE How to Improve Your Home’s Value Electric appliances signify a modern, updated home by improving its overall appeal, comfort, and efficiency. 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Eligibility criteria may seem daunting, but we’ve made it simple to find out if you qualify and maximize your benefits. Take our brief questionnaire to get started and receive the latest updates as they become available! Let’s See if You Qualify! Get in Touch QUALIFY NOW FOR HEAT PUMP REPLACEMENT ASSISTANCE & HASSLE-FREE SAVINGS Fill out our questionnaire to learn more about the new heat pump replacement government assistance incentives that provide free heat pumps and more for your home. Get started and reserve your place in line today! Do you own or rent your home? --None--I Own My Home I Rent My Home I Am a Landlord (single family home) I Manage a Multifamily Property First Name Last Name Email Address Street City State/Province --None--Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Home Phone How Many People Live In Your Home? --None--1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Is Someone In Your Home Enrolled in any of the below programs? (If you are enrolled in any of these programs your income automatically qualifies for the appliance rebate program) Medicaid Supplemental Security Income (SSI) SNAP National School Lunch Program – Free WIC Housing Improvement Program (WIP) What is the estimated annual income for your household (include all household members)? How is your home heated currently? --None--Gas (furnace or boiler) Oil (furnace or boiler) Electric heat pump Other Electric (baseboard, electric furnace, etc.) I don’t know What is the square footage of your household (if you don’t know, give an estimate)? --None--Less than 1,000 square feet 1,000 – 1,500 square feet 1,500 – 2,000 square feet More than 2,000 square feet Do you pay a gas bill each month? Do you also have a gas stove, cooktop, oven, or range that you would like to upgrade to an electric appliance? Are you also interested in receiving a new electric clothes dryer? Do you currently have a clothes dryer in the home with a vent to the outside? Elevate your home’s efficiency with FreeHeatPump.com. Affordable, sustainable solutions for a greener future. Contact Us 2207 2nd Avenue North, Suite 500 Birmingham, Alabama 35203 Hours of Operations Monday-Friday: 8:00am-5:00pm A Birmingham Website Design Company Copyright © 2024 FreeHeatPump.com. All Rights Reserved. Privacy Policy. Back To Top