Appliance Rebate Form

United Electric offers a $25 rebate when you purchase a qualifying Energy Star washer.

To qualify for a rebate you must:

  1. Install washer within the United Electric Co-op service territory.
  2. Washer must be an approved Energy Star product. Qualifying washers can be found at the ENERGY STAR website or ask your local retailer.
  3. Complete this form and provide us with copy of your store receipt, listing the manufacturer and model number.
  4. Application must be submitted within 6 months of purchase.
Name(Required)
Mailing Address(Required)
Installation Address(Required)
Please check the applicable boxes:(Required)
Max. file size: 100 MB.
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