RTV6 - Dial One Contest Form

ALERT

Asbestos found at Belmont fire site

Court upholds Ind. House walkout fines

Get Storm Shield app, be prepared

Storm watch issued for parts of Indiana

Police seek dark Impala in hit-and-run

Some Hoosier families are without heat in their home and suffer from cold winter days.

RTV6 and Dial One Hour heating and Air Conditioning are teaming up to help.

Dial One Hour will donate and install a new heating system for Indiana families in need.

Watch for heart warming results on RTV6. Please fill out the form below for a chance to WIN!

Contest Rules

Dial One Hour Essay Entry Form

*Please fill out all fields.

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Nominee's Name:

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Nominee's Address:

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Nominee's City:

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Nominee's State:

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Nominee's Zip:

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Nominee's Day Phone:

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Nominee's Evening Phone:

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Property Type: Own Rent Lease

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Is nominee active in his/her community? Yes No

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In what way is nominee active?

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Is nominee the head of the household? Yes No

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Why do you believe this person qualifies?

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Do any medical conditions apply?

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Your Name:

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Your Address:

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Your City:

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Your State:

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Your Zip Code:

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Your Phone Number:

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Your Email Address:

Indianapolis , IN

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ALERT

Asbestos found at Belmont fire site Court upholds Ind. House walkout fines Get Storm Shield app, be prepared Storm watch issued for parts of Indiana Police seek dark Impala in hit-and-run

Asbestos found at Belmont fire site

Court upholds Ind. House walkout fines

Get Storm Shield app, be prepared

Storm watch issued for parts of Indiana

Police seek dark Impala in hit-and-run