sweepstakes entry form

enter to win a "Safe Entry Lighting Control Package"

Winners will never come home to a dark home again! Drawing August 31, 2010.

Name:

Phone Number:

Email Address:

Would you consider caregiver technology or perhaps home automation if you were renovating or building your home?

Yes or No

Would you or someone you know be interested in attending a free local seminar?

Yes or No

Would you like to be contacted by Harper Technology Group about questions and needs you may have?

Yes or No