Electric Appliance & Recycling Rebate Application
Member Contact Info
Appliance Type:
Please provide receipts for ALL Appliances.
One file only.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg.
Please use this text box for any additional comments.