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Contact Us
Residential LED Lights Rebate Application
Important!
Lumen Requirements, Rebate Amount & Limits
500 lumens or greater
50% of material cost
Rebate amount is $8 / bulb (maximum)
Limit: 50 bulbs per account per year
Have your LED light bulb receipts and copies of bulb packaging (showing # of lumens and bulb type) to include with your rebate application.
Member Contact Info
Name:
Email:
Account Number:
Installation Address:
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
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New York
North Carolina
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Northern Mariana Islands
Ohio
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Virginia
Washington
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ZIP/Postal Code
Application Date:
Date Equipment Installed:
Enrolled in Managed Program?
Yes
No
All lamps/fixtures greater than 500 lumens?
Please check the box to confirm all lamps/fixtures are 500 lumens and greater. *
All Lamps/Fixtures must be at least 500 Lumens or Greater.
Note: LED fixtures with multiple light sources (for example, multiple LED tubes, rope-light, or under counter lighting) are considered to be one fixture.
Please Provide the Total Number of LED Lamps Costing $16 or More Each?
Please Tell Us the Total Cost of LED Lamps Purchased That Were $16 or More Each:
Please Provide the Total Number of LED Lamps Costing Less Than $16 or More Each?
Please Tell Us the Total Cost of LED Lamps Purchased That Were Less Than $16 or More Each:
Comments:
Please use this text box for any additional comments.
Upload any supporting documentation for your Rebate Request.
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Upload Slot B:
Upload Slot C:
Upload Slot D:
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