Earn $25 CASH for you and/or your participating FundRaiser Group! Name of Person You are Referring First Last Do They Qualify for a Checkup?All conditions shown below are required in order for us to perform a Home Energy Checkup, but if you are unsure just leave the box unchecked, and we will confirm. They are a Potomac Edison Customer in MD They are not a Hagerstown City & Light customer They are not a Thurmont City customer Group Affiliation?If the person you are referring is affiliated with one of our Group FundRaiser Programs, you may both be entitled to a CASH credit for the referral! St. Joseph's Catholic Church Hagerstown First Church of God Gateway Church Ministries Boonsboro Family Worship Center Hagerstown Packers Youth Football Sunny Meadows Nursery Washington Co. Junior Football League Street Address of Person You Are Referring (if known) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone of Person You Are Referring (if known)Email of Person You Are Referring (if known) Your InformationWe need your contact info ONLY if you want to receive CASH credit for this referral.Your Name First Last Your Email Notes or Questions?NameThis field is for validation purposes and should be left unchanged.