Consumer Instant Rebate Program
Armstrong Dealer Information
Tier Level
*
Standard
ComforTeam
ProTeam
Company Name
*
G.W. Berkheimer Account #
*
Branch Location
*
Please Select
001-Gary
002-Indianapolis
003-Evergreen Park
004-South Bend
005-Arlington Heights
006-Fort Wayne
007-Lombard
008-Tinley Park
009-Valparaiso
010-Fishers
011-Lafayette
012-Aurora
013-McHenry
014-Louisville
015-Rockford
016-Niles
017-Cicero, Berwyn
018-Elkhart
019-Elgin
020-Joliet
021-Crown Point
022-Peru
023-Warsaw
Submitted by
*
First Name
Last Name
Submitter Email
*
example@example.com
Dealer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Equipment Type
*
Please Select
Furnace/Air Handler
Air Conditioner
Heat Pump
System
Furnace/Air Handler Type
*
Please Select
A98USMV
A97USMV
A97US2V
A96US2V
BCE7E
A97UH2E
A96UH2E
A80US2V
BCE5V
Furnace/ Air Handler Type (SP24)
Please Select
802V
A97MV
A98MV
A962V
A972V
A962E
A972E
BCE7
BCE5EX
Heat Pump Type
*
Please Select
4SHP22LX
4SHP18LX
Heat Pump Type (SP24)
Please Select
18HP
22HP
Air Conditioner Type
*
Please Select
4SCU23LX
Air Conditioner Type (SP24)
Please Select
AC23
What type of System did you purchase?
*
Furnace/Air Handler & Air Conditioner
Furnace/Air Handler & Heat Pump
Select your Furnace/Air Handler & Air conditioner System
*
Please Select
A98USMV-4SCU23LX
A98USMV-4SCU17LE
A97USMV-4SCU23LX
A97USMV-4SCU17LE
A97US2V-4SCU23LX
A97US2V-4SCU17LE
A96US2V-4SCU23LX
A96US2V-4SCU17LE
BCE7E-4SCU23LX
BCE7E-4SCU17LE
A97UH2E-4SCU17LE
A96UH2E-4SCU17LE
A80US2V-4SCU17LE
BCE5V-4SCU17LE
Select your Furnace/Air Handler & Air conditioner System (SP24)
Please Select
802V-AC17
A97MV-AC17
A97MV-AC23
A98MV-AC17
A98MV-AC23
A962V- AC17
A962V- AC23
A972V- AC17
A972V- AC23
A962E-AC17
A972E-AC17
BCE7-AC17
BCE7-AC23
BCE5EX- AC17
Select your Furnace/Air Handler & Heat Pump System
*
Please Select
A98USMV-4SHP22LX
A98USMV-4SHP18LX
A98USMV-4SHP17LE
A97USMV-4SHP22LX
A97USMV-4SHP18LX
A97USMV-4SHP17LE
A97US2V-4SHP22LX
A97US2V-4SHP18LX
A97US2V-4SHP17LE
A96US2V-4SHP22LX
A96US2V-4SHP18LX
A96US2V-4SHP17LE
BCE7E-4SHP22LX
BCE7E-4SHP18LX
BCE7E-4SHP17LE
A97UH2E-4SHP18LX
A97UH2E-4SHP17LE
A96UH2E-4SHP18LX
A96UH2E-4SHP17LE
A80US2V-4SHP18LX
A80US2V-4SHP17LE
BCE5V-4SHP18LX
BCE5V-4SHP17LE
Select your Furnace/Air Handler & Heat Pump System (SP24)
Please Select
802V-HP17
802V-18HP
A97MV-HP17
A97MV-18HP
A97MV-22HP
A98MV-HP17
A98MV-18HP
A98MV-22HP
A962V-HP17
A962V-18HP
A962V-22HP
A972V-HP17
A972V-18HP
A972V-22HP
A962E-HP17
A962E-18HP
A972E-HP17
A972E-18HP
BCE7-HP17
BCE7-18HP
BCE7-22HP
BCE5EX-17HP
BCE5EX-18HP
Furnace Model Number
*
Furnace Serial Number
*
Air Conditioner Model Number
*
Air Conditioner Serial Number
*
Heat Pump Model Number
*
Heat Pump Serial Number
*
Air Handler Model Number
*
Air Handler Serial Number
*
Furnace/Air Handler Credit Amount
$225
$200
$175
Furnace/Air Handler Credit Amount (SP24)
$175
$200
$225
Air Conditioner Credit Amount
$225
Heat Pump Credit Amount
$200
$225
Furnace/Air Handler & AC Credit Amount
$400
$425
$450
$500
$525
$550
Furnace/Air Handler & Heat Pump Credit Amount
$400
$425
$450
$500
$525
$550
Did you add an A3 ComfortSync?
Yes
No
A3 ComfortSync Model Number
A3 ComfortSync Serial Number
A3 ComfortSync Credit Amount
Homeowner Information
Homeowner Name
*
First Name
Last Name
Homeowner Phone Number
*
Please enter a valid phone number.
Homeowner Email
*
example@example.com
Installation Date
*
-
Month
-
Day
Year
Date
Installation Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
GWB Invoice No.
*
The highlighted section of the image above is the section you enter into this field.
Attach GWB Invoice
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
GWB Invoice No.
The highlighted section of the image above is the section you enter into this field.
Attach GWB Invoice
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please attach dealer invoice with proof of rebate given to the homeowner and G.W. Berkheimer Invoice
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Calculate Furnace Estimated Credit Amount
Yes
No
Estimated Furnace/Air Handler Credit Amount
Calculate Air Conditioner Estimated Credit Amount
Yes
No
Estimated Air Conditioner Credit Amount
Calculate Heat Pump Estimated Credit Amount
Yes
No
Estimated Heat Pump Credit Amount
Calculate Furnace/Air Handler & Air conditioner Estimated Credit Amount
Yes
No
Estimated Furnace/Air Handler & Air conditioner Credit Amount
Calculate Furnace/Air Handler & Heat Pump Estimated Credit Amount
Yes
No
Estimated Furnace/Air Handler & Heat Pump Credit Amount
Print
Submit
HQ Use Only
Area
Credit Amount
Invoice No.
Credit Memo #
Credit Memo Date
-
Month
-
Day
Year
Date
Contractor Rebate Issued
Amount Claimed
Should be Empty: