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?:
Heat Pump
Dual-Fuel
Electric Water Heater
Electric Vehicle (EV) Charger
Is the equipment installed? (GreyStone's inspection will occur only after installation, and
RECEIPT WILL BE REQUIRED FOR PROOF OF PURCHASE
.)
*
Equipment installed?:
Yes
No
Installed within last 90 days?:
Yes
No
Do you have the receipt for purchase of the equipment that you can present at the time of inspection?
*
Receipt for purchase?:
Yes
No
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:
*
City:
*
State:
*
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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