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    Water Heater Rebate Form

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    sandyolkowski
    This document is a rebate form from Tri-County Electric Cooperative for members replacing water heaters. It requests information about the member, the new water heater model and installer, and qualifications for a rebate including a minimum size of 40 gallons, energy factor rating of 0.90 or above, and a warranty of at least 5 years. The form must be submitted along with a purchase receipt within 3 weeks to qualify for the rebate.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Water Heater Rebate Form

    Uploaded by

    sandyolkowski
    26 views1 page
    This document is a rebate form from Tri-County Electric Cooperative for members replacing water heaters. It requests information about the member, the new water heater model and installer, and qualifications for a rebate including a minimum size of 40 gallons, energy factor rating of 0.90 or above, and a warranty of at least 5 years. The form must be submitted along with a purchase receipt within 3 weeks to qualify for the rebate.

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    This document is a rebate form from Tri-County Electric Cooperative for members replacing water heaters. It requests information about the member, the new water heater model and installer, and qualifications for a rebate including a minimum size of 40 gallons, energy factor rating of 0.90 or above, and a warranty of at least 5 years. The form must be submitted along with a purchase receipt within 3 weeks to qualify for the rebate.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views1 page

    Water Heater Rebate Form

    Uploaded by

    sandyolkowski
    This document is a rebate form from Tri-County Electric Cooperative for members replacing water heaters. It requests information about the member, the new water heater model and installer, and qualifications for a rebate including a minimum size of 40 gallons, energy factor rating of 0.90 or above, and a warranty of at least 5 years. The form must be submitted along with a purchase receipt within 3 weeks to qualify for the rebate.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    TRI-COUNTY Electric Cooperative, Inc.

    Water Heater Rebate Form

    MEMBER INFORMATION:
    Customer Name: _____________________________________________________________

    Billing Address: ______________________________________________________________

    City: ________________________ State: ____ Zip: ___________ Phone: ____________

    Electric Account Number: ________________________________

    Installation Information:
    Manufacturer: ________________________ Model No: ____________________________

    Serial Number: ______________________________________________________________

    Installation Address: __________________________________________________________

    Place of Purchase: ___________________________________________________________

    Date of Installation: ___________________ Tank Warranty, (Years): _________________

    Energy Factor Rating: ______ Rebate Amount: _________ ARI Page No: ____________

    Approved By: __________________________ Date: _____________ Copy to A/P:

    Rebate Qualifications: Minimum tank size is 40 gallons, Energy Factor Rating .90 or above, heating
    elements must be upper and lower 4500 watt, minimum tank warranty 5 years with one year on parts
    and labor.

    A copy of your sales or installation receipt must accompany this request for rebate. The rebate is
    for Tri-County Electric Cooperative, Inc. members only. The water heater must be installed at a
    service address which is receiving electric service from Tri-County Electric Cooperative. Once the
    water heater is installed, return the completed form to Tri-County Electric. A cooperative employee
    may visit the location to confirm installation, please allow up to three weeks for processing of your
    rebate request. All rebates will be paid by check to the member receiving service.

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