USA Insulation Enrollment Form

Franchise Location (City & State)*
Your Email Address*
Franchise Contact*
First Last
How many schools would you like to include in your sponsorship?*
Standard campaign ($3,000 per school)
A-frame signs (2)
PA Announcements
Program Inserts (1000)
Schedule magnets (1000)
Please list out the nearby high schools that best represent your primary customer base:
Even if you are only requesting one school, please fill out all five high school fields below to help us with options should a high school decline the program.
High School #1*
High School #2*
High School #3*
High School #4*
High School #5*
High School #6*
Optional Add-Ons
- Seat Cushions (200) – Add $950
- T-Shirts (200) – Add $1500
- Hand Warmers (200) – Add $1300
- Beanie Hat (200) – Add $2600

Please list out the nearby high schools that best represent your primary customer base: