The IQAir® FREE PreMax Filter Offer

Information about You

Referrer

First name * Last name * Company name Address * Address 2 City * State * Zip code * Phone number * Purchased from *

Information about referee
person who purchased IQAir Air Purifier(s) on your recommendation

First name * Last name * Address * Address 2 City * State * Zip code Phone number *

Terms and Conditions: The referrer (you) and the referee must be registered warranty customers. Referral claim must be received within 6 weeks of referee's purchase. Pre-filter will be shipped to you when referral sale becomes final. Limited to one pre-filter per referral. Please fill out one card per referral. Allow 4 weeks for shipping. Self referral is not eligible. The IQAir Referral Program is not available to IQAir Dealers, Resellers, Retailers, Builders or Installers. The Program terms and conditions are subject to change without notice.

Mandatory fields are marked with an asterisk.