Promotion Claim Form

Customer Details

Please complete the contact details of person claiming the $400 prepaid Visa card promotion claim. Rheem will not use this information for marketing purposes, nor will it be provided to third parties.

Title:*
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First Name:*
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Last Name:*
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Customer Address:*
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Suburb:*
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Postcode:*
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State or Territory:*

Phone Number:*
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(include area code)

Email Address:*
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Installation Address:
(if different to the mailing address)
Including suburb, state, and postcode.*
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(if different to the mailing address) Including suburb, state, and postcode.

Solar System Details

Solar System:
eg.52L300/2NPT*
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System Serial Number:*
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Rheem Solar Specialist Details

Business Name:*
Please enter the RSS Store whether you purchased your Rheem Solar Unit.

Invoice No:*
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Upload Copy Invoice:*
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Please upload a copy of your invoice to verify your purchase.

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Are you Human?*
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