Central Electric Cooperative, Inc. > Smart Thermostat Rebate Form

Smart Thermostat Rebate Form

Homeowner Name*
First Last
Installation Address*
Street Address Address Line 2 City ZIP Code
Mailing Address
Same as installation address

Street Address Address Line 2 City State ZIP Code
Phone
Email
Installation Date*
MM slash DD slash YYYY
How Many Thermostats Were Installed?*
Heating System for Thermostat #1*
Heating System for Thermostat #2*
Thermostat #1 Manufacturer*
Thermostat #2 Manufacturer*
Thermostat #1 Model*
Thermostat #2 Model*
Upload Receipt Here*
Max. file size: 30 MB.
A copy of the receipt must accompany this application.
Disclaimer
Rebate amounts and program requirements are subject to change or be discontinued at any time by Central Electric Cooperative (CEC). CEC disclaims any warranty, whether expressed or implied, regarding the products listed above for any materials or labor associated with installation, maintenance, repair, or any energy savings associated with use. All homes are subject to inspection & usage data analyzed by participating in energy efficiency programs by CEC or partnering third parties. Products and installation must meet all program criteria to qualify for rebates. I understand the above and certify that I am a member of CEC, that the products are installed and operating at the location indicated and that this address is electrically served by CEC.
Digital Signature*
- I certify the above information is true and correct and I am the person submitting this form.
By checking this box and typing my name, I certify that all information on this form is true and correct. I also agree that the checkbox and my name typed below are to be used as my electronic signature. I understand that I can be held liable if I provide false or misleading information.
Type Full Name*
Consent*
I agree to the privacy policy.
CEC Privacy Policy
Phone
This field is for validation purposes and should be left unchanged.

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