Wheatland Electric Advanced Programable Thermostat Rebate Fillable Form

Please make sure to complete application and attach a dated invoice.

Advanced Programable Thermostat Rebate Form

Application must be submitted within 60 days of installation. Incomplete applications will not be accepted. For questions, contact Caitlin Moser at (620) 874-4563 or rebates@weci.net.

MEMBER INFORMATION

Name

Email

Phone

Physical Address

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Wheatland Account Number

Personal Residence

Landlord Account

Rental Property

EQUIPMENT INFORMATION

New Unit Info

Installation Date

Unit One Brand

Unit One Serial Number

Unit Two Brand

Unit Two Serial Number

Invoice

Please attach a copy of the dated receipt or contractor invoice that details all installed equipment information, including brand, model #, and serial #.
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.

APPLICANT ACKNOWLEDGEMENT

Member Signature

Please use your mouse (or finger for touch screens) to sign. By signing your name in this box, the Member affirms that the information reflected here is accurate to the best of his or her knowledge and that falsification or reporting of incorrect information on this form is grounds for denial of the rebate.

Notice:

Alert:

Advanced Programable Thermostat Rebate Form

Advanced Programable Thermostat Rebate Form