Appliance Rebate Form

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When you purchase an ENERGY STAR®

certified refrigerator, freezer, or a high-

efficiency heat pump, you’ll enjoy more

than just energy savings and outstanding

performance. Blue Ridge Electric will apply a credit to your next electric bill! REBATE PROCESS • Submit the following information for refrigerator/freezer rebate:

- Completed rebate form

- Copy of detailed receipt with model number

- Energy Guide label with

ELIGIBILITY • Applicant must be member of record for an active Blue Ridge Electric account. • Rebates are available for residential members only. • Limit one rebate per appliance per Blue Ridge Electric residential account. • Rebates are based on system efficiency. • Additional requirements and/or conditions apply. • Failure to provide required information may result in denial of rebate. • Blue Ridge reserves the right to amend or discontinue this program without notice. • Rebates are available for appliances and systems purchased after May 1, 2016.

ENERGY STAR symbol.

• Submit the following information after work is completed for heat pump: - Completed rebate form

- Copy of detailed invoice with

Blue Ridge Account Number Name Service Address City State Zip Mailing Address City State Zip Email Home Phone Day Phone

REBATE Check the rebate you are applying for below. Eligible Appliance Rebates

By signing this form, I certify the information in this application is true, and I have read and understand the program guidelines. I also understand that Blue Ridge Electric may claim any energy savings associated through the purchase of this ENERGY STAR qualified appliance as part of their REPS mandate reporting.

seasonal energy efficiency

ENERGY STAR Refrigerator ($25) (min. 15 cu ft)

Signature: Date:

- Copy of AHRI Certificate of Product

ENERGY STAR Freezer ($25) (min. 10 cu ft)

Mail completed form and required documents to:

ratio (SEER).

Rating (contractor can provide this certificate upon request).

Eligible HVAC System Rebates High-Efficiency Heat Pump ($150) (16 SEER or greater) Geothermal Heat Pump ($250) (19 SEER or greater)

Blue Ridge Electric Membership Corp. HVAC & Appliance Rebate PO Box 112 Lenoir, NC 28645 The rebate will be processed within 3-5 weeks after the properly submitted application and supporting information are received.

BlueRidgeEMC.com/Rebates

Receive a REBATE

for buying an energy efficient appliance or HVAC system. Eligible Appliance

Rebate

ENERGY STAR Refrigerator (min. 15 cu ft)

$25

ENERGY STAR Freezer (min. 10 cu ft)

$25

Eligible HVAC Systems

Rebate

High-Efficiency Heat Pump (16 SEER or greater)

$150

Geothermal Heat Pump (19 SEER or greater)

$250

Rebate Requirements • New freezer and refrigerator must be ENERGY STAR qualified and meet minimum size requirements. • When replacing an existing central AC or heat pump unit, the old unit must not have a seasonal energy efficiency ratio (SEER) greater than 13. • When replacing an existing geothermal unit, the old unit must not have an energy efficiency ratio (EER) greater than 17.

Save Money by Saving Energy. You can lower your monthly electric bill by reducing the amount of electricity you use. And everyone likes to save money!

HVAC & Appliance Rebates

to help your home become more energy efficient

That’s why Blue Ridge Electric offers a variety of programs to help you save money when you save energy. What’s good for your wallet is also good for our environment. For a list of available services and energy-saving tips, please visit us at BlueRidgeEMC.com/Powerful-Solutions. You can also call us at (828) 758-2383 or 1-800-451-5474 (toll free).

Save Money by Saving Energy. UPGRADE TO SAVE! BlueRidgeEMC.com/Rebates

BlueRidgeEMC.com/Rebates