APPLIANCE REBATE

Please complete and submit the application form before. If you wish to print out and complete a paper form, please click here. Once completed with the paper form, please either email it along with a copy of the receipt to info@cecpower.coop, or mail the form and a copy of the receipt to Carroll Electric, P.O. Box 67, Carrollton, OH 44615.

For any questions, please call 800-232-7697.

Name

Email

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Carroll Electric Account Number

Please enter the account number

Upload receipt

Upload EnergyGuide

Appliance Details

Manufacturer

Model Number

Does this appliance replace a working appliance?

Yes

No

If yes, are you keeping the old, working appliance?

Yes

No

Age of existing (old) appliance

Appliance Rebate--Conditions and Requirements

I agree to the Conditions & Requirements of Rebate

By signing this agreement, I consent and agree to participate in Carroll Electric's Appliance Rebate Program. I have read and understand the terms and requirements as specified in the EnergyStar Appliance Agreement.

I agree to the terms of service.

By signing this agreement, I consent and agree to participate in Carroll Electric's Appliance Rebate Program. I have read and understand the terms and requirements as specified in the EnergyStar Appliance Agreement.

Member Signature

Sign above

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