info@NORAweb.org
Consumer Equipment Rebate Request
Use this form when submitting for consumer equipment/tank rebates.
For all other rebates,
use this form
.
Consumer Equipment Rebate Form
Date:
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PIN
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Association Name
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Name
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First
Last
Phone
Email
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Please select
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Select Program Type
EE2 ENERGY EFFICIENCY & SAFETY EQUIPMENT
RD&D3 FACILITATING & TRANSITIONING ENERGY EFFICIENT EQUIPMENT
Total Requested
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Upload Rebate Spreadsheet
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Upload supporting documentation (if needed)
Payment to (choose from drop-down)
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ASSOCIATION
CONSUMER DIRECTLY
CONSUMER DIRECTLY, BUNDLE & RETURN TO ASSOCIATION
SERVICE/INSTALL COMPANY
If payment to service/install company, upload W-9
This is for an oil efficiency and upgrade program and I certify that to the maximum extent practicable, I have coordinated, developed and implemented this project with the state energy efficiency administrator.
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Yes
No
I hereby declare the the funds were used in accordance with the National Oilheat Research Act of 2000.
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Yes
No
I have read, understand and agree to comply with NORA State Rebates Terms & Conditions.
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Yes
No
Submit
Reset
NORA Statute
Rebate Terms & Conditions