SALTcares Nomination Form

Nomination Form

HVAC Giveaway
Nominee E-mail
Enter E-mail Here
Name of Nominee

First NameLast Name
At SALTcares, we believe in taking care of our community—one family at a time. This summer, we're proud to give back by donating a brand-new HVAC unit to someone in need right here in our local area. Whether it’s a senior citizen living without air conditioning or a family facing financial hardship, our goal is to bring comfort, dignity, and relief when it’s needed most. If you know someone who could benefit from this gift—or if that someone is you—we invite you to nominate a deserving recipient. Together, we can be the hands and feet of service, making a real difference for those who need it most.

“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 new HVAC system?
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: