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    Tidweb Res Rebate Application

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    sandyolkowski
    The residential rebate application requests information about the customer, including their name, address, and contact details. It also requests information about the appliance or product for which the customer is seeking a rebate, including the purchase date, installation date, manufacturer, model, and size. The customer must provide proof of purchase and sign to agree to the terms of the rebate program. If approved, a rebate check will be mailed to the customer or payee indicated on the form.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Tidweb Res Rebate Application

    Uploaded by

    sandyolkowski
    41 views2 pages
    The residential rebate application requests information about the customer, including their name, address, and contact details. It also requests information about the appliance or product for which the customer is seeking a rebate, including the purchase date, installation date, manufacturer, model, and size. The customer must provide proof of purchase and sign to agree to the terms of the rebate program. If approved, a rebate check will be mailed to the customer or payee indicated on the form.

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    The residential rebate application requests information about the customer, including their name, address, and contact details. It also requests information about the appliance or product for which the customer is seeking a rebate, including the purchase date, installation date, manufacturer, model, and size. The customer must provide proof of purchase and sign to agree to the terms of the rebate program. If approved, a rebate check will be mailed to the customer or payee indicated on the form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    41 views2 pages

    Tidweb Res Rebate Application

    Uploaded by

    sandyolkowski
    The residential rebate application requests information about the customer, including their name, address, and contact details. It also requests information about the appliance or product for which the customer is seeking a rebate, including the purchase date, installation date, manufacturer, model, and size. The customer must provide proof of purchase and sign to agree to the terms of the rebate program. If approved, a rebate check will be mailed to the customer or payee indicated on the form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    RESIDENTIAL REBATE APPLICATION

    Customer Information:
    Name of Customer (as it appears on TID bill) TID Account Number

    Address of Installation City / State / Zip Phone Number

    Name of Owner (if different than Customer) Owner Phone Number (if different than above)

    Payee of Rebate Check (if different than Customer)

    Mailing Address for Rebate Check (if different than above) City / State / Zip

    Rebate Information:

    Clothes Washer | Refrigerator | Room Air Conditioner | Solar Attic Fan | Whole House Fan
    Size
    Item / Appliance Purchase Date Installation Date Manufacturer Model # (cu. ft., BTU/hr, CFM)

    Please include copies of dated sales receipts (and “Energy Guide” for clothes washer, refrigerator, and room air conditioner).

    Radiant Barrier

    Radiant Heat Rejection Rating Purchase Date Installation Date Attic Square Footage

    % sq. ft.

    Sun Screen

    Total Square Footage Installed: _____________________ sq. ft.


    10•06

    Turlock Irrigation District • 333 E. Canal Drive • P.O. Box 949 • Turlock, CA 95381 • (209) 883-8432 • www.tid.com
    RESIDENTIAL REBATE APPLICATION

    Rebate Information: (cont.)

    Compact Fluorescent Lights (CFLs)

    15 watts or less 16 - 24 watts 25 watts or more

    Quantity Purchased

    Air Conditioner Replacement

    Installing HVAC Contractor Information (if applicable)


    Company Name CA State Contractor License Number

    Mailing Address City / State / Zip Phone Number

    Installing Contractor Signature Date

    Central Air Conditioner Data


    New Equipment Information Old Equipment Information
    Condenser Manufacturer Name Condenser Model Number
    Please provide the following information
    about the equipment being replaced.
    AHRI Reference Number SEER EER Manufacturer Name

    Indoor Coil Manufacturer Name Indoor Coil Model Number Model Number Year Manufactured

    Cooling Capacity (tons) Type (circle) Configuration (circle) SEER EER

    Standard Heat Pump Split Packaged


    Building Permit Number Jurisdiction (City or County issuing permit) Cooling Capacity (tons) Is the unit operational?

    ______ Yes ______ No

    Attach Certificate of AHRI-Certified Performance for the newly installed unit which can be obtained at www.ahrinet.org.

    Applicant’s Signature:

    I hereby agree to the terms and conditions of the program set forth by Turlock Irrigation District (TID). I have read and
    understand the program qualifications and requirements and attest that all submitted information is complete and correct.
    I agree to verification by TID of both product documentation and installation.
    Customer Signature Date

    Owner Signature (if different than Customer) Date


    10•06

    Turlock Irrigation District • 333 E. Canal Drive • P.O. Box 949 • Turlock, CA 95381 • (209) 883-8432 • www.tid.com

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