× Account Information First Name Please enter your first name Last Name Please enter your last name Champion Account Number (if Ohio, Pennsylvania, New Jersey, Massachusetts or Delaware, enter utility account number from your bill) Please enter your champion account number Email Please enter your email address About Your Smart Device Brand Please enter your thermostat brand Thermostat Model Please enter your thermostat model number Thermostat Price Please enter your thermostat price Where Purchased Please enter the thermostat purchase store Attach Scan or Photo of Receipt Please attach scan or photo receipt (jpg, jpeg, png, gif, bmp, or pdf)