Nominator Application

Nominator Application

Home Energy Efficiency Makeover

Step 1: Nominator Application

To nominate a Cobb EMC member for the Home Energy Efficiency Makeover, you must submit a nominator application by January 18, 2019. Include pictures and tell us their story. Submit the application by filling out the form below or download a hard copy  (en español) of the application and send it by mail, fax or email.

  • Mail: Attn: Cobb EMC Marketing Department, P.O. Box 369 Marietta, GA 30061
  • Fax: Attn: Cobb EMC Marketing Department, 770-429-2130
  • Emailmakeover@cobbemc.com

Remember, in order to complete your submission, please contact the person you nominated and ask him or her to fill out the required nominee application by January 18, 2019.

The name of the person nominating a Cobb EMC member
Please make sure the files have finished updating before submitting the form.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png.
Please make sure the files have finished uploading before submitting the form.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png.
YESNO
I acknowledge that I have read and agree to the official rules of the program. *
I, nominator, whose name appears above, nominate the above named member, to be considered in the Cobb EMC Home Energy Efficiency Makeover Program (“Program”), represent and warrant that the answers provided by me to the foregoing nomination questions are true, complete and correct and that I have completed this form honestly and accurately. *
I acknowledge that Cobb EMC, in its sole and absolute discretion, may or may not select my nominee for further consideration to be part of the program. *
I acknowledge that if my nominee is selected for further consideration, my nominee will be required to complete and sign additional application materials, release forms and other documents and that I may be required to give a testimonial and otherwise participate in the process, as requested by Cobb EMC. *
I understand, acknowledge and agree that if any of the information in the Nominator Application is found to be false or incomplete, this will be grounds for dismissal of my nominee from the participant selection process and/or from the Program. *
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Frequently Asked Questions
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Official Contest Rules
Official Contest Rules
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