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WebHooks Landing Page (Test)
WebHooks Landing Page (Test)
allie.shetlerDEA
2022-03-03T08:31:33-06:00
Digital Rebates (TEST)
Residential ENERGY STAR Appliance Dehumidifier Electric Dryer Heat Pump Water Heater
Member Information
Name
(Required)
First
Last
Account Number
(Required)
Please enter a number greater than or equal to
12
.
Address where appliance is installed:
(Required)
Street Address
Address Line 2
City
ZIP Code
Phone
(Required)
Email
Date
MM slash DD slash YYYY
Equipment Information
Appliance Type
(Required)
Dehumidifier
Electric Dryer
Heat Pump Water Heater
Manufacturer
(Required)
Model Number
(Required)
Is this a replacement appliance?
(Required)
Yes
No
Upload a copy of your dated sales receipt
(Required)
Drop files here or
Select files
Max. file size: 15 MB.
Retailer Information
Retailer/Store Name
(Required)
Location
City
State / Province / Region
Confirmation
Consent
(Required)
I agree my rebate may take 8-12 weeks to process and if accepted will be a credit on my electric bill.
Disclaimer
Rebates are available for the purchase of new ENERGY STAR rated products purchased on or after January 1, 2021. The purchased products must be installed where electricity is supplied by the cooperative. Rebate submittal must follow the guidelines as outlined by the cooperative. The cooperative is not responsible for inaccurate information supplied by appliance dealers. Rebates will be issued only for products on the current list of ENERGY STAR rated products as of the purchase date. ENERGY STAR occasionally removes products from qualifying lists, and the cooperative will not rebate products that have been delisted as of the purchase date or are mislabeled as ENERGY STAR. To verify ENERGY STAR certification for appliances and lighting, visit www.energystar.gov. Rebate program, including the availability of rebates, is subject to change or cancellation without notice.
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