Rebate Form
The rebate excludes systems that are leased or lease to purchase agreements.
When was the equipment purchased?
*Date equipment purchased:    (MM/DD/YYYY)
*Equipment Type?:
Is the equipment installed? (GreyStone's inspection will occur only after installation, and RECEIPT WILL BE REQUIRED FOR PROOF OF PURCHASE.)
*Equipment installed?:
Installed within last 90 days?:
Do you have the receipt for purchase of the equipment that you can present at the time of inspection?
*Receipt for purchase?:
If 'Yes' is selected, you agree to present the receipt at the time of inspection.
Upload photo of receipt(s), proof of installation or AHRI Certificate(s) here:
Photo of Receipt:
Photo of Installation :
Photo of AHRI Certificate:
Contact Information
*Full Name:
*Account Number:
*Service Address:
*Zip Code:
*Primary Phone Number:
Alternate Phone Number:
E-Mail Address:
To help us reduce spam, please enter the sum of 3 + 4 below.
*Enter the sum here:

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