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2. 
3. Energy Star Appliance Rebate Form

   Qualified appliances must be purchased between 01/01/22 and 12/31/22. Customers of the IELD in good standing are eligible to receive one rebate of each appliance listed every three years. Rebates under $250 will be applied as a credit to the electric account number provided. Gas cooktop or range replacement applications must include photos of appliance being replaced and replacement appliance installed. The IELD reserves the right to end these rebates at any time.

5. Verify your Purchase
   EnergyStar.Gov

   Click the link above to verify the appliance you purchased qualifies.
9. Electric Account Number:*
   Please enter your IELD account number
10. Email Address*
11. Phone Number*
13. First Name
14. Last Name*
16. Service Address*
17. Mailing Address
    (if different from service address)
19. City
20. State
21. Zip
25. Energy Star Appliance*
    -- Select One --Air Purifier - $40Clothes Washer- $50Dehumidifier - $30Heat Pump Dryer (electric) - $500Heat Pump Water Heater <55 gal - $500Pool Pump (Two Speed) - $175Pool Pump (Variable Speed) - $250Refrigerator - $50Programmable Thermostat - 100%Freezer >12 Cu Ft $50Induction Stove/Cook-top replacing Electric - $100Induction Stove/Cook-top replacing Gas- $750

    Select the purchased appliance

26. Purchase Date*
    Purchase Date
    Please provide the date of purchase.
28. Receipt*
    Please upload your dated sales receipt. (must show qualifying model, purchase price and paid in full.)
29. Brand*
30. Model #*
31. Serial #*
33. Image Upload

    Gas cooktop or range replacement applications must include photos of appliance being replaced and replacement appliance installed.

37. Customer Acknowledgement
    By submitting this form, I hereby certify that all information above is correct to the best of my knowledge and that I adhere to all terms and conditions of this rebate.
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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field