2015 Residential CFL Rebate Application City of North St. Paul

2015 Residential CFL
Rebate Application
City of North St. Paul
If you have questions while
completing this form, please contact
your hometown electric utility
weekdays during business hours for
assistance.
Phone: 651-747-2413
Fax: 651-747-2425
Email: [email protected]
Send your completed
application to:
City of North St. Paul
2400 Margaret Street
North Saint Paul, MN 55109
Checklist For Application:
Copy of dated sales
receipt
UPC Code and ENERGY
STAR label from each
package
Completed Application
By participating in the We Save program, you can save energy and earn a
®
rebate when you purchase ENERGY STAR certified Compact Fluorescent
Light (CFL) bulbs in single or multi-packs.
What rebate can I earn?
$2 per bulb or purchase price, whichever is less* (max. rebate $100)
* Rebate may not exceed purchase price.
What does it mean to be ENERGY STAR Certified?
ENERGY STAR certified CFLs:
• Save $40 to $135 over their lifetime.
• Use 75% less energy than incandescents.
• Last 10 times longer than incandescents.
• Produce about 75% less heat, making them safer to operate while
decreasing energy costs associated with home cooling.
• Meet strict performance requirements and carry a minimum 2-year warranty.
Which CFLs should I buy to replace my current incandescent
bulbs?
To choose the right CFL, determine the light output (lumens) you need.
If you’re replacing an old 40W bulb, look for 450-799 lumens.
If you’re replacing an old 60W bulb, look for 800-1,099 lumens.
If you’re replacing an old 75W bulb, look for 1,100-1,599 lumens.
If you’re replacing an old 100W bulb, look for 1,600-1,999 lumens.
Old / Conventional Light Bulbs
Traditional
Energy Saving
Incandescent
Halogen
(watts)
(watts)
40W
60W
75W
100W
29W
43W
53W
72W
Light Output
(lumens)
450 - 799
800 - 1,099
1,100 - 1,599
1,600 - 1,999
ENERGY STAR
CFLs
(watts)
9W
13W
18W
23W
- 13W
- 15W
- 25W
- 30W
How Do I Qualify?
• Residential customers receiving electric service from a local municipal
electric utility that is a participating member of MMPA are eligible for a rebate
when they purchase ENERGY STAR certified CFLs in single or multi-packs
and install them in their home.
• Customer must apply for rebate within one year of the purchase date shown
on the sales receipt.
• Total rebate limit of $100 paid to customer. Limit one rebate per customer
account per year.
• Rebated bulbs may not be used for resale.
• Rebate applications must include a copy of dated sales receipt, UPC code,
and ENERGY STAR label from each bulb package. Incomplete rebate
applications will not be processed.
• Rebate requests are processed on a first-come first-serve basis. Annual
rebate funds are limited. Rebate programs, qualifications, and amounts are
subject to change at any time.
• Qualifying customers must apply for rebate by November 30, 2015.
2015 Residential CFL
Rebate Application
City of North St. Paul
COMPLETE THESE FOUR EASY STEPS TO GET YOUR REBATE.
STEP 1: CUSTOMER INFORMATION
Name
Account Number
Address
Phone
City
-
-
Zip
If different from above, enter name and address where rebate should be sent.
Name
Phone
Address
City
Zip
STEP 2: INFORMATION FOR CFL BULBS PURCHASED
For multi-packs, enter number of bulbs in package in Quantity column. (e.g., for 4-pack, enter "4")
Purchase Price is price paid for number of bulbs listed on row and must match attached sales receipt.
Quantity
Manufacturer
<<< Enter Total Quantity
Model Number
Watts
Purchase Price
$
$
$
$
$
Enter Total Amount Paid >>> $
Single Family Interior Multi Family Common Area Exterior
Description of HVAC System: Heating Only Heating & Cooling Exterior or Unconditioned
Area Where Bulb(s) Will Be Installed:
STEP 3: ATTACH NECESSARY DOCUMENTATION (must be submitted with rebate application)
Copy of dated sales receipt.
UPC code from each bulb package.
ENERGY STAR label from each bulb package.
STEP 4: CUSTOMER SIGNATURE
I hereby certify that all information is accurate including customer information, claims of number of bulbs purchased, and that all
bulbs were installed in a home that receives electric service from local municipal utility that is a participating member of MMPA. I
have read all information on this form and agree that MMPA may verify information I have provided.
X
Date
FOR MMPA UTILITY USE ONLY. DO NOT WRITE IN THIS AREA.
CALCULATION OF REBATE
A
B
C
D
E
F
Purchase
Total
CFL
# of Bulbs
Price
Rebate
Lesser of
Rebate
Watts
Purchased
per Bulb
per Bulb
C&D
BxE
$
$2.00
$
$
$
$2.00
$
$
$
$2.00
$
$
$
$2.00
$
$
$
$2.00
$
$
Total Rebate (may not exceed $100) $
Approved By
Date
/
/
Rebate Amount $
/
/

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