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Elk River Residential WIFI Thermostat Rebate <br /> Municipal Utilities 2017 Residential Rebate Application <br /> Customer Information <br /> Name Account# <br /> Service Address <br /> City State Zip <br /> Phone Email <br /> WIFI Compatible Programmable Thermostat <br /> Retailer Purchased From: Brand/Manufacturer: <br /> Model: Purchase Date: Installation Date: <br /> What is your primary source of heat? �'Gas Electric Heat Pump 0 Other <br /> Do you have central air conditioning? Yes n No <br /> I certify that my thermostat has been installed at the address listed above,and that this address represents a valid utility account. <br /> Signature Date <br /> Important: <br /> • Customers are eligible for one rebate per service address. <br /> •This rebate is available to ERMU electric customers participating in the cycled air conditioning program. <br /> •Access to internet is required to operate the thermostat. <br /> • Customers must submit a copy of the sales receipt that includes the model number and purchase date. <br /> •This rebate is for the purchase of a WIFI compatible thermostat.If the thermostat does not have WIFI <br /> capability it does not qualify for this rebate. <br /> • $25 rebate will be given in the form of a credit on electric utility bill. <br /> • Once your rebate has been processed,you will be removed from the program and will no longer receive <br /> the monthly bill credit. <br /> •To apply for rebate,complete the Residential WIFI Thermostat Rebate Application.Submit rebate <br /> application and a copy of the sales receipt by September 30,2018 to: <br /> Elk River Municipal Utilities, 13069 Orono Parkway,PO Box 430,Elk River,MN 55330 <br /> 128 <br />