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2021 ENERGY EFFICIENT APPLIANCE <br />REBATE APPLICATION <br /> CUSTOMER INFORMATION <br /> <br />City State Zip <br />Phone Email <br /> <br /> APPLIANCE INFORMATION <br /> <br /> <br /> <br /> <br /> QUALIFIED CONTRACTOR INFORMATION - FOR AC & ASHP REBATES ONLY <br />Contractor Name Phone <br /> IMPORTANT REBATE REQUIREMENTS <br />AIR CONDITIONERS: <br />application that the installer completes. <br />14.5 to 14.9 is $50 15.0 to 15.9 is $75 16$100 <br />HEAT PUMPS:All <br />application that the installer completes.14.5-14.9 is <br />$480 15.0-15.9 is $580 16.0 or higher is $630 16 or higher is $300 <br />$500 <br />$400 No rebates for open loop systems. <br />HEAT PUMP WATER HEATERS: 50$300 80$350 2.0 <br />REFRIGERATORS AND FREEZERS:$75 only <br /> working <br />Your receipt must state the old one was recycled. 14 <br />HARVEST PROGRAM: $75 You cannot <br />combine this rebate with the new refrigerator/freezer purchase and the refrigerator or freezer must be working at time <br />of recycling. Does not qualify if unit is donated or sold. Must provide receipt stating it was recycled. <br />FURNACE FAN MOTORS: $100 <br />$50 All rebate requests must be accompanied by rebate <br />ERMUMN.COM | 763.441.2020 | 13069 ORONO PARKWAY | PO BOX 430 | ELK RIVER, MN 55330-0430 <br />156 <br />