SALTcares Nomination Form

Nomination Form

Water Heater
Nominee E-mail
Enter E-mail Here
Name of Nominee

First NameLast Name
At SALT Service Co. we believe that everyone deserves to live comfortably in their homes. We understand that for some people facing financial challenges, the cost of upgrading or repairing essential plumbing equipment can be an overwhelming burden.

That's why we are giving away a Water Heater and installation.

“You are the salt of the earth… You are the light of the world, let your light shine….” Matthew 5:13-16
Nominee Address

Street Address

Apt/Unit #

CityState

Zip Code
Why is the nominee deserving of a water heater?
Year home was built
May we share your name with the nominee? Y/N
Name of Nominator

First NameLast Name
Nominator Mobile Phone Number

Area CodePhone Number
How did you hear about this nomination?

I'm a SALT+ maintenance agreement memberI'm a SALT customerEmailSocial MediaOn the RadioOther
Nominations are accepted through 12/31/2024.

*$10,000 value*
Nominee Mobile Phone Number

Area CodePhone Number
Nominator E-mail
Enter E-mail Here *(Will be used by SALT Service Co. to contact you)
Should be Empty: