Smart Thermostat Rebate EmailThis field is for validation purposes and should be left unchanged.Account Number(Required)Phone(Required)Name First Last Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code House Type(Required) Single Family/Stick Built Manufactured Home Apartment Other Primary heat source must be electric(Required) Heat Pump Electric Forced-Air Furnace Electric Baseboard/Zonal Gas Other Occupancy detection has been set to "ON": Insert(Required)It is required that you enable occupancy detection. Yes No Is thermostat set at geographic location? Yes No The following are approved brands and models: Nest Learning, Nest Thermostat 3rd Gen., Nest E, Carrier Cor- TP-WEM01-A, Bryant T6WEM01-A, ecobee 3, ecobee 4, ecobee 5 with voice controlThermostat Brand(Required)Brand ModeSerial NumberYou must include a copy of your invoice or receipt to process rebate. Rebates will be credited to members’ account unless otherwise noted.Applicant’s Electronic Signature (Full Name)(Required)