Active Guard - Mattress Liners for Bed Bug & Dust Mite Control
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Pest Management Professionals
Home
About ActiveGuard
FAQs
Contact Us
Pest Management Professionals
Take the
Active
Guard™ Challenge!
For a chance to win an iPad submit one entry for every
Active
Guard purchase made in July and August!
Last Name:
*
First Name:
*
Company:
Address:
*
Town:
*
State
*
--Select State--
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Email:
*
Phone (xxx-xxx-xxxx):
*
Please Send Me Your Monthly Newsletter
How did you hear about the
Active
Guard Challenge?
PCT Magazine
PMP Magazine
Facebook
AllergyTechnologies.com
email
postcard
Distributor Rep
Other
If you selected "Distributor Rep" or "Other" please elaborate:
Invoice Number of
Active
Guard Purchase:
Place of Purchase
*
Date of Purchase
*
All purchases must be made July 1 to August 31, 2012 to qualify
All forms must be completed and submitted to Allergy Technologies by September 15, 2012
Winners will be announced on October 1st and notified by email and/or phone
All winners allow their names and affiliated companies to be released as contest winners
Allergy Technologies reserves the right to extend the deadline for ActiveGuard purchases for this contest
No employees, affiliates, family members or friends of Allergy Technologies will be considered candidates for entrance into the contest