RUUD® Super Charged Program Form

Company Name *

Account Number *

Contact Name *

Contact Email *

Phone Number *

Phone

Address

City *

State *

Zipcode *

2022 Sales *

Please enter your Sept- Dec 2022 Ruud / Rheem purchases. *This will be your baseline that the incremental rebate will be calculated against.

2023 Projected current yearly purchase 9/23-12/2 *

2022 Projected year estimated COMPETITIVE BRAND *

purchases 9/22-12/22

Branch Number

Territory Manager *

*

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