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 / A98MVK
A97USMV / A98MVK
A97US2V / A972VK
A96US2V / A972VK
BCE7E / A802VK/7AH2AV
A97UH2E / A972EK
A96UH2E / A972EK
A80US2V / A802VK
BCE5EV / 7AH1AV
A972DS2V / A972VK
A97DF2E / A972EK
A97DSMV / A98MVK
A96DS2V / A972VK
A96DF2E / A972EK
Furnace/ Air Handler Type (SP25)
Please Select
802V / A802VK
A97MV / A98MVK
A98MV / A98MVK
A962V / A972VK
A972V / A972VK
A962E / A972EK
A972E / A972EK
BCE7 / 7AH2AV
BCE5EX / 7AH1AV
Heat Pump Type
*
Please Select
4SHP22LX / A7CP21V
4SHP18LX / A7HP19V
Heat Pump Type (SP25)
Please Select
18HP / A7HP19V
22HP / A7CP21V
Air Conditioner Type
*
Please Select
4SCU23LX / A7AC22V
Air Conditioner Type (SP25)
Please Select
AC23 / A7AC22V
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 / A98MVK-A7AC22V
A98USMV-4SCU17LE / A98MVK-A7AC14F
A97USMV-4SCU23LX / A98MVK-A7CP21V
A97USMV-4SCU17LE / A98MVK-A7AC14F
A97US2V-4SCU23LX / A972VK-A7AC22V
A97US2V-4SCU17LE / A972VK-A7AC14F
A96US2V-4SCU23LX / A972VK-A7AC22V
A96US2V-4SCU17LE / A972VK-A7AC14F
BCE7E-4SCU23LX / A802VK-A7AC22V
BCE7E-4SCU17LE / A802VK-A7AC14F
A97UH2E-4SCU17LE / A972EK-A7AC14F
A96UH2E-4SCU17LE / A972EK-A7AC14F
A80US2V-4SCU17LE / 7AH2AV-A7AC14F
BCE5V-4SCU17LE / 7AH1AV-A7AC14F
A972DS2V-4SCU23LX / A972VK-A7AC22V
A972DS2V-4SCU17LE / A972VK-A7AC14F
A97DF2E-4SCU17LE / A972EK-A7AC14F
A97DSMV-4SCU23LX / A98MVK-A7AC22V
A97DSMV-4SCU17LE / A98MVK-A7AC14F
A96DS2V-4SCU23LX / A972VK-A7AC22V
A96DS2V-4SCU17LE / A972VK-A7AC14F
A96DF2E-4SCU17LE / A972EK-A7AC14F
A80US2V-4SCU23LX / A802VK-A7AC22V
Select your Furnace/Air Handler & Air conditioner System (SP25)
Please Select
802V-AC17 / A802VK-A7AC14F
A97MV-AC17 / A98MVK-A7AC14F
A97MV-AC23 / A98MVK-A7AC22V
A98MV-AC17 / A98MVK-A7AC14F
A98MV-AC23 / A98MVK-A7AC22V
A962V- AC17 / A972VK-A7AC14F
A962V- AC23 / A972VK-A7AC22V
A972V- AC17 / A972VK-A7AC14F
A972V- AC23 / A972VK-A7AC22V
A962E-AC17 / A972EK-A7AC14F
A972E-AC17 / A972EK-A7AC14F
BCE7-AC17 / 7AH2AV-A7AC14F
BCE7-AC23 / 7AH2AV-A7AC22V
BCE5EX- AC17 / 7AH1AV-A7AC14F
Select your Furnace/Air Handler & Heat Pump System
*
Please Select
A98USMV-4SHP22LX / A98MVK-A7CP21V
A98USMV-4SHP18LX / A98MVK-A7HP19V
A98USMV-4SHP17LE / A98MVK-A7AC14F
A97USMV-4SHP22LX / A98MVK-A7CP21V
A97USMV-4SHP18LX / A98MVK-A7HP19V
A97USMV-4SHP17LE / A98MVK-A7AC14F
A97US2V-4SHP22LX / A972VK-A7CP21V
A97US2V-4SHP18LX / A972VK-A7HP19V
A97US2V-4SHP17LE / A972VK-A7AC14F
A96US2V-4SHP22LX / A7AC14F-A7CP21V
A96US2V-4SHP18LX / A7AC14F-A7HP19V
A96US2V-4SHP17LE / A7AC14F-A7AC14F
BCE7E-4SHP22LX / 7AH2AV-A7CP21V
BCE7E-4SHP18LX / 7AH2AV-A7HP19V
BCE7E-4SHP17LE / 7AH2AV-A7AC14F
A97UH2E-4SHP18LX / A972EK-A7HP19V
A97UH2E-4SHP17LE / A972EK-A7AC14F
A96UH2E-4SHP18LX / A972EK-A7HP19V
A96UH2E-4SHP17LE / A972EK-A7AC14F
A80US2V-4SHP18LX / 7AH2AV-A7HP19V
A80US2V-4SHP17LE / 7AH2AV-A7AC14F
BCE5V-4SHP18LX / 7AH2AV-A7HP19V
BCE5V-4SHP17LE / 7AH2AV-A7AC14F
A972DS2V-4SHP22LX / A972VK-A7CP21V
A972DS2V-4SHP18LX / A972VK-A7HP19V
A972DS2V-4SHP17LE / A972VK-A7AC14F
A97DF2E-4SHP18LX / A972EK-A7HP19V
A97DF2E-4SHP17LE / A972EK-A7AC14F
A97DSMV-4SHP22LX / A98MVK-A7CP21V
A97DSMV-4SHP18LX / A98MVK-A7HP19V
A97DSMV-4SHP17LE / A98MVK-A7AC14F
A96DS2V-4SHP22LX / A972VK-A7CP21V
A96DS2V-4SHP18LX / A972VK-A7HP19V
A96DS2V-4SHP17LE / A972VK-A7AC14F
A96DF2E-4SHP18LX / A972EK-A7HP19V
A96DF2E-4SHP17LE / A972EK-A7AC14F
A80US2V-4SHP22LX / A802VK-A7CP21V
Select your Furnace/Air Handler & Heat Pump System (SP25)
Please Select
802V-HP17 / A802VK-A7AC14F
802V-18HP / A802VK-A7HP19V
A97MV-HP17 / A98MVK-A7AC14F
A97MV-18HP / A98MVK-A7HP19V
A97MV-22HP / A98MVK-A7CP21V
A98MV-HP17 / A98MVK-A7AC14F
A98MV-18HP / A98MVK-A7HP19V
A98MV-22HP / A98MVK-A7CP21V
A962V-HP17 / A972VK-A7AC14F
A962V-18HP / A972VK-A7HP19V
A962V-22HP / A972VK-A7CP21V
A972V-HP17 / A972VK-A7AC14F
A972V-18HP / A972VK-A7HP19V
A972V-22HP / A972VK-A7CP21V
A962E-HP17 / A972EK-A7AC14F
A962E-18HP / A972EK-A7HP19V
A972E-HP17 / A972EK-A7AC14F
A972E-18HP / A972EK-A7HP19V
BCE7-HP17 / 7AH2AV-A7AC14F
BCE7-18HP / 7AH2AV-A7HP19V
BCE7-22HP / 7AH2AV-A7CP21V
BCE5EX-17HP / 7AH1AV-A7AC14F
BCE5EX-18HP / 7AH1AV-A7HP19V
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
You can attach multiple documents here
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: