Electric Outdoor Equipment Rebate Form Electric Lawn Equipment Rebate Member Name * Member Name First First Last Last Account Number * Meter Number * Street Address * Street Address Street Address Street Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Email * Phone * Hand-held and Push-type Equipment * Trimmer Leaf Blower Leaf Blower Chainsaw Push Mower (minimum of 36 volts) Rototiller Pressure Washer Riding Equipment * Riding Mower Zero-turn Mower Brand * Model # * Purchase Price * Purchased From? * Date of Purchase * How did you hear about this rebate incentive? * Please select oneUDWI NewsletterSocial MediaWebsiteWord of mouth / A friendBill StufferWhyElectrify WebsiteOther How did you hear about this rebate incentive? Please upload a copy of an itemized receipt for proof of purchase. * Drop a file here or click to upload Choose File Maximum file size: 33.55MB Submission of application expressly indicates member understanding and agreement to the following conditions: Limit one rebate per member-consumer account per year. Equipment purchased must be new and have a minimum one-year warranty. Reconditioned or refurbished equipment is not eligible. Completed rebate application and documentation must be received within 90 days of purchase date. Rebates for qualifying purchase are the lesser of $50 or 50% of purchase price. The cooperative has the right to deny rebate if terms and conditions are not met. Member Signature * signature keyboard Clear Date of Application * Captcha Applications must be received within 90 days of purchase and within the same calendar year. Text Submit If you are human, leave this field blank.
