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 Saluting American Contractors Prize Form  
All fields marked with an (*) are required.  Please note: We do not sell your information or pass to third party marketing groups. - This information is for the redeeming of prize points.
 
 
Name*      I'm a Contractor or End User *     
 I'm a Distributor *    
Company*      If Distributor, Company and Branch Location is required:
Address 1*      Branch: 
Address 2       
City *     
State*       
Zip Code*      
Daytime Phone*:   
 
 
Email Address*    
     
STEP 1
Please indicate the number of each item purchased or sold(distributor):

SL1NM SunTower, Single Light             Qty: 
SL2NW Suntower, Dual Light                Qty: 
SL2GW Suntower w/ Generator             Qty: 

EJR4315CM30310-UL  e-cart Jr, 15KVA, 2 wheel PDU           Qty:
BE1-CAMCL3061  Big-E Jr, 208V, 6 dplx, 1 50A           Qty:

1066FS Oscar Temp Power Box                    Qty: 
1067-ALC Oscar Temp Power Box               Qty: 
63DSO 100' SO 50A cord                            Qty: 
63BSO  50' SO 50A cord                             Qty:
63YSTW  3' 50A "Y" Cordset                    Qty:
123B-H  Pink 50' #12/3 Cord                            Qty: 
123D-H  Pink 100' #12/3 Cord                         Qty: 
103B  Yellow 50' #10/3 HD Cord                    Qty:
103D  Yellow 100" #10/3 HD Cord                 Qty:
8Z2124SE8GA  Gen Cordset, 25' , #12/4            Qty:

122100STW #12/2 100' Stringlight                Qty: 
123100STWY-1L #12/3 100' Stringlight               Qty: 
123100Y-1  HD 100" Indust Stringlight             Qty: 
211   Wire Gurad for 123100Y                     Qty: 
211-BG  Bottom Guard for 211 Guard        Qty: 
1003-HPS  Magnet 70W HPS light        Qty:



G903-1TT  90 Deg GFCI w/ Tri Tap        Qty:
XG2-12-2TT  XG2 GFCI 2 ft Tritap        Qty:
XG2-12-10G-15  GFCI 10' w/ PG & CG        Qty:
XG2-12-25B-15   GFCI 25' w/ box        Qty:
XG2-12-50B-15  GFCI 50' w/ box       Qty:
211-BG  Bottom Guard for 211 Guard        Qty:

1510-P  5-15 PermaLink Plug        Qty:
1610-C  5-15 PermaLink Conn        Qty:
2310-P  L5-20 PermaLink Plug        Qty:
2410-C  L5-20C PermaLink Conn        Qty:




       Step 2
 *CONTRACTOR ONLY:
Please indicate the Distributor from which you bought Ericson:

Company*: 
Branch*:
City*:  
     
Step 3

Claim Your Points or Prizes 
 I wish to redeem my points now for prizes.
                (proceed to Step 4)

 I wish for Ericson to save my points for redeeming later.

(Note: all points must be redeemed by Dec 31, 2011)
 
STEP 4

Prize Cards

 Requested NOW 
$ Value:     Dick's Card
$ Value: Gander Mountain Card
$ Value: Bass Pro Shop Card
$ Value: Cabelas Card



 
   Comments - Notes - Special Shipping Instructions:
 
 Note: Please allow 2 to 4 weeks for delivery
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