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<td><img style="float: left; border: 0; margin: 0px;" src="/sites/default/files/ContactUsHeader.png" alt="" width="800" height="323" /></td>
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<td>
<h3>Filter Club</h3>
<p style="text-align: left;">Save time and money when you sign up for our filter subscription program. Program participants receive FREE Shipping (a value up to $15) on all filter orders. Blueair will send you a new set of replacement filters every six months using the credit card information you provide for your first purchase. If you would like to sign up for the Filter Subscription Program but do not wish to purchase filters immediately or you live outside of the U.S., please send an email to <a href="mailto:sales@blueair.com">sales@blueair.com</a>.</p>
<p>To change or cancel your Blueair filter subscription please email <a href="mailto:sales@blueair.com">sales@blueair.com</a> or call 1.888.BLUEAIR (1-888.258.3247). </p>
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</div><div class="webform-component-select" id="webform-component-state"><div class="form-item" id="edit-submitted-state-wrapper">
<label for="edit-submitted-state">State / Terrritories: <span class="form-required" title="This field is required.">*</span></label>
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<label for="edit-submitted-phone">Phone: </label>
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<label for="edit-submitted-e-mail">E-Mail: <span class="form-required" title="This field is required.">*</span></label>
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</div><div class="webform-component-select" id="webform-component-how_will_you_pay_for_your_filter"><div class="form-item">
<label>How will you pay for your filter:: <span class="form-required" title="This field is required.">*</span></label>
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WELCOME TO THE CLUB!! We just wanted to let you know that we received your application and that your filters will be sent out immediately based on the dates you selected. If you have any questions or concerns regarding your Blueair unit, you can always call us 1-888-258-3247 to talk to a person. We think you’ll find ours knowledgeable, friendly and accommodating.
Thank you again
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<td>
<h3>Filter Club</h3>
<p style="text-align: left;">Save time and money when you sign up for our filter subscription program. Program participants receive FREE Shipping (a value up to $15) on all filter orders. Blueair will send you a new set of replacement filters every six months using the credit card information you provide for your first purchase. If you would like to sign up for the Filter Subscription Program but do not wish to purchase filters immediately or you live outside of the U.S., please send an email to <a href="mailto:sales@blueair.com">sales@blueair.com</a>.</p>
<p>To change or cancel your Blueair filter subscription please email <a href="mailto:sales@blueair.com">sales@blueair.com</a> or call 1.888.BLUEAIR (1-888.258.3247). </p>
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</div><div class="webform-component-textfield" id="webform-component-zip"><div class="form-item" id="edit-submitted-zip-wrapper">
<label for="edit-submitted-zip">Zip: <span class="form-required" title="This field is required.">*</span></label>
<input type="text" maxlength="25" name="submitted[zip]" id="edit-submitted-zip" size="25" value="" class="form-text required" />
</div>
</div><div class="webform-component-select" id="webform-component-country"><div class="form-item" id="edit-submitted-country-wrapper">
<label for="edit-submitted-country">Country: <span class="form-required" title="This field is required.">*</span></label>
<select name="submitted[country]" class="form-select required" id="edit-submitted-country" ><option value="" selected="selected">select...</option><option value="United States">United States</option><option value="Canada">Canada</option></select>
</div>
</div><div class="webform-component-textfield" id="webform-component-phone"><div class="form-item" id="edit-submitted-phone-wrapper">
<label for="edit-submitted-phone">Phone: </label>
<input type="text" maxlength="25" name="submitted[phone]" id="edit-submitted-phone" size="25" value="" class="form-text" />
</div>
</div><div class="webform-component-email" id="webform-component-e_mail"><div class="form-item" id="edit-submitted-e-mail-wrapper">
<label for="edit-submitted-e-mail">E-Mail: <span class="form-required" title="This field is required.">*</span></label>
<input type="text" maxlength="128" name="submitted[e_mail]" id="edit-submitted-e-mail" size="25" value="" class="form-text required" />
</div>
</div><div class="webform-component-select" id="webform-component-how_will_you_pay_for_your_filter"><div class="form-item">
<label>How will you pay for your filter:: <span class="form-required" title="This field is required.">*</span></label>
<div class="form-radios"><div class="form-item" id="edit-submitted-how-will-you-pay-for-your-filter-Money-Order-wrapper">
<label class="option" for="edit-submitted-how-will-you-pay-for-your-filter-Money-Order"><input type="radio" id="edit-submitted-how-will-you-pay-for-your-filter-Money-Order" name="submitted[how_will_you_pay_for_your_filter]" value="Money Order" class="form-radio" /> Money Order</label>
</div>
<div class="form-item" id="edit-submitted-how-will-you-pay-for-your-filter-Check-wrapper">
<label class="option" for="edit-submitted-how-will-you-pay-for-your-filter-Check"><input type="radio" id="edit-submitted-how-will-you-pay-for-your-filter-Check" name="submitted[how_will_you_pay_for_your_filter]" value="Check" class="form-radio" /> Check</label>
</div>
<div class="form-item" id="edit-submitted-how-will-you-pay-for-your-filter-Credit-Card-wrapper">
<label class="option" for="edit-submitted-how-will-you-pay-for-your-filter-Credit-Card"><input type="radio" id="edit-submitted-how-will-you-pay-for-your-filter-Credit-Card" name="submitted[how_will_you_pay_for_your_filter]" value="Credit Card" class="form-radio" /> Credit Card</label>
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</div><div class="webform-component-select" id="webform-component-what_months_do_you_want_to_receive_your_filters"><div class="form-item" id="edit-submitted-what-months-do-you-want-to-receive-your-filters-wrapper">
<label for="edit-submitted-what-months-do-you-want-to-receive-your-filters">What months do you want to receive your filters:: <span class="form-required" title="This field is required.">*</span></label>
<select name="submitted[what_months_do_you_want_to_receive_your_filters]" class="form-select required" id="edit-submitted-what-months-do-you-want-to-receive-your-filters" ><option value="" selected="selected">select...</option><option value="Jan / July">Jan / July</option><option value="Feb / Aug">Feb / Aug</option><option value="March / Sept">March / Sept</option><option value="April / Oct">April / Oct</option><option value="May / Nov">May / Nov</option><option value="June / Dec">June / Dec</option></select>
</div>
</div><div class="webform-component-select" id="webform-component-air_purifier_filter_requested"><div class="form-item" id="edit-submitted-air-purifier-filter-requested-wrapper">
<label for="edit-submitted-air-purifier-filter-requested">Air Purifier Filter Requested: <span class="form-required" title="This field is required.">*</span></label>
<select name="submitted[air_purifier_filter_requested]" class="form-select required" id="edit-submitted-air-purifier-filter-requested" ><option value="" selected="selected">select...</option><option value="200 Series Particle Filter">200 Series Particle Filter</option><option value="200 Series Carbon filter">200 Series Carbon filter</option><option value="300 Series Particle filter">300 Series Particle filter</option><option value="400 Series Particle Filter">400 Series Particle Filter</option><option value="400 Series Smoke Filter">400 Series Smoke Filter</option><option value="500/600 Series Particle Filter">500/600 Series Particle Filter</option><option value="500/600 Series Smoke Filter">500/600 Series Smoke Filter</option><option value="Medical VOC Filter">Medical VOC Filter</option><option value="EC010 Filter">EC010 Filter</option></select>
</div>
</div><input type="hidden" name="details[email_subject]" id="edit-details-email-subject" value="Filter Club" />
<input type="hidden" name="details[email_from_name]" id="edit-details-email-from-name" value="1" />
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<fieldset class="captcha"><legend>CAPTCHA</legend><div class="description">This question is for testing whether you are a human visitor and to prevent automated spam submissions.</div><input type="hidden" name="captcha_sid" id="edit-captcha-sid" value="6949" />
<img src="/image_captcha/6949/1280451665" alt="Image CAPTCHA" title="Image CAPTCHA" /><div class="form-item" id="edit-captcha-response-wrapper">
<label for="edit-captcha-response">What code is in the image?: <span class="form-required" title="This field is required.">*</span></label>
<input type="text" maxlength="128" name="captcha_response" id="edit-captcha-response" size="15" value="" class="form-text required" />
<div class="description">Enter the characters shown in the image.</div>
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<tr>
<td>
<h3>Filter Club</h3>
<p style="text-align: left;">Save time and money when you sign up for our filter subscription program. Program participants receive FREE Shipping (a value up to $15) on all filter orders. Blueair will send you a new set of replacement filters every six months using the credit card information you provide for your first purchase. If you would like to sign up for the Filter Subscription Program but do not wish to purchase filters immediately or you live outside of the U.S., please send an email to <a href="mailto:sales@blueair.com">sales@blueair.com</a>.</p>
<p>To change or cancel your Blueair filter subscription please email <a href="mailto:sales@blueair.com">sales@blueair.com</a> or call 1.888.BLUEAIR (1-888.258.3247). </p>
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<div><div class="webform-component-textfield" id="webform-component-name"><div class="form-item" id="edit-submitted-name-wrapper">
<label for="edit-submitted-name">Name: <span class="form-required" title="This field is required.">*</span></label>
<input type="text" maxlength="25" name="submitted[name]" id="edit-submitted-name" size="25" value="" class="form-text required" />
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</div><div class="webform-component-select" id="webform-component-state"><div class="form-item" id="edit-submitted-state-wrapper">
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</div>
</div><div class="webform-component-textfield" id="webform-component-zip"><div class="form-item" id="edit-submitted-zip-wrapper">
<label for="edit-submitted-zip">Zip: <span class="form-required" title="This field is required.">*</span></label>
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</div><div class="webform-component-select" id="webform-component-country"><div class="form-item" id="edit-submitted-country-wrapper">
<label for="edit-submitted-country">Country: <span class="form-required" title="This field is required.">*</span></label>
<select name="submitted[country]" class="form-select required" id="edit-submitted-country" ><option value="" selected="selected">select...</option><option value="United States">United States</option><option value="Canada">Canada</option></select>
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</div><div class="webform-component-textfield" id="webform-component-phone"><div class="form-item" id="edit-submitted-phone-wrapper">
<label for="edit-submitted-phone">Phone: </label>
<input type="text" maxlength="25" name="submitted[phone]" id="edit-submitted-phone" size="25" value="" class="form-text" />
</div>
</div><div class="webform-component-email" id="webform-component-e_mail"><div class="form-item" id="edit-submitted-e-mail-wrapper">
<label for="edit-submitted-e-mail">E-Mail: <span class="form-required" title="This field is required.">*</span></label>
<input type="text" maxlength="128" name="submitted[e_mail]" id="edit-submitted-e-mail" size="25" value="" class="form-text required" />
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</div><div class="webform-component-select" id="webform-component-how_will_you_pay_for_your_filter"><div class="form-item">
<label>How will you pay for your filter:: <span class="form-required" title="This field is required.">*</span></label>
<div class="form-radios"><div class="form-item" id="edit-submitted-how-will-you-pay-for-your-filter-Money-Order-wrapper">
<label class="option" for="edit-submitted-how-will-you-pay-for-your-filter-Money-Order"><input type="radio" id="edit-submitted-how-will-you-pay-for-your-filter-Money-Order" name="submitted[how_will_you_pay_for_your_filter]" value="Money Order" class="form-radio" /> Money Order</label>
</div>
<div class="form-item" id="edit-submitted-how-will-you-pay-for-your-filter-Check-wrapper">
<label class="option" for="edit-submitted-how-will-you-pay-for-your-filter-Check"><input type="radio" id="edit-submitted-how-will-you-pay-for-your-filter-Check" name="submitted[how_will_you_pay_for_your_filter]" value="Check" class="form-radio" /> Check</label>
</div>
<div class="form-item" id="edit-submitted-how-will-you-pay-for-your-filter-Credit-Card-wrapper">
<label class="option" for="edit-submitted-how-will-you-pay-for-your-filter-Credit-Card"><input type="radio" id="edit-submitted-how-will-you-pay-for-your-filter-Credit-Card" name="submitted[how_will_you_pay_for_your_filter]" value="Credit Card" class="form-radio" /> Credit Card</label>
</div>
</div>
</div>
</div><div class="webform-component-select" id="webform-component-what_months_do_you_want_to_receive_your_filters"><div class="form-item" id="edit-submitted-what-months-do-you-want-to-receive-your-filters-wrapper">
<label for="edit-submitted-what-months-do-you-want-to-receive-your-filters">What months do you want to receive your filters:: <span class="form-required" title="This field is required.">*</span></label>
<select name="submitted[what_months_do_you_want_to_receive_your_filters]" class="form-select required" id="edit-submitted-what-months-do-you-want-to-receive-your-filters" ><option value="" selected="selected">select...</option><option value="Jan / July">Jan / July</option><option value="Feb / Aug">Feb / Aug</option><option value="March / Sept">March / Sept</option><option value="April / Oct">April / Oct</option><option value="May / Nov">May / Nov</option><option value="June / Dec">June / Dec</option></select>
</div>
</div><div class="webform-component-select" id="webform-component-air_purifier_filter_requested"><div class="form-item" id="edit-submitted-air-purifier-filter-requested-wrapper">
<label for="edit-submitted-air-purifier-filter-requested">Air Purifier Filter Requested: <span class="form-required" title="This field is required.">*</span></label>
<select name="submitted[air_purifier_filter_requested]" class="form-select required" id="edit-submitted-air-purifier-filter-requested" ><option value="" selected="selected">select...</option><option value="200 Series Particle Filter">200 Series Particle Filter</option><option value="200 Series Carbon filter">200 Series Carbon filter</option><option value="300 Series Particle filter">300 Series Particle filter</option><option value="400 Series Particle Filter">400 Series Particle Filter</option><option value="400 Series Smoke Filter">400 Series Smoke Filter</option><option value="500/600 Series Particle Filter">500/600 Series Particle Filter</option><option value="500/600 Series Smoke Filter">500/600 Series Smoke Filter</option><option value="Medical VOC Filter">Medical VOC Filter</option><option value="EC010 Filter">EC010 Filter</option></select>
</div>
</div><input type="hidden" name="details[email_subject]" id="edit-details-email-subject" value="Filter Club" />
<input type="hidden" name="details[email_from_name]" id="edit-details-email-from-name" value="1" />
<input type="hidden" name="details[email_from_address]" id="edit-details-email-from-address" value="9" />
<input type="hidden" name="form_build_id" id="form-f27a5b45b8246c0c78ed8fac4b3dc73e" value="form-f27a5b45b8246c0c78ed8fac4b3dc73e" />
<input type="hidden" name="form_id" id="edit-webform-client-form-68" value="webform_client_form_68" />
<fieldset class="captcha"><legend>CAPTCHA</legend><div class="description">This question is for testing whether you are a human visitor and to prevent automated spam submissions.</div><input type="hidden" name="captcha_sid" id="edit-captcha-sid" value="6949" />
<img src="/image_captcha/6949/1280451665" alt="Image CAPTCHA" title="Image CAPTCHA" /><div class="form-item" id="edit-captcha-response-wrapper">
<label for="edit-captcha-response">What code is in the image?: <span class="form-required" title="This field is required.">*</span></label>
<input type="text" maxlength="128" name="captcha_response" id="edit-captcha-response" size="15" value="" class="form-text required" />
<div class="description">Enter the characters shown in the image.</div>
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<input type="submit" name="op" id="edit-submit" value="Submit" class="form-submit" />
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