Commercial Refrigeration Rebate Application Asterisks (*) indicate required fields.CUSTOMER INFORMATIONAccount Number* Company Name* Contact Name* First Last Contact Phone*Contact Email* Installation Address* 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 Do you have a different mailing address?* My mailing address is the same as above I have a different mailing address Mailing Address* 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 REBATE PROGRAM GUIDELINESPlease click the button below to find current rebate amounts. This will open a new tab. Rebate Amounts Rebate(s) will not exceed 70% of total installed cost. To ensure availability of funds, project must be pre-approved.UPLOAD YOUR FINAL DOCUMENTSPlease upload the required final documents with your application: Invoice showing installed cost and new equipment order/purchase date (purchase date must be on or after October 1, 2019 to receive the current rebate amount. Product specification sheet (also referred to as cut sheet) documenting product name and model number. * Drop files here or Select files Max. file size: 20 MB. Application NotesPlease insert any notes that you would like us to review with your application.SUBMIT YOUR APPLICATIONTerms and Conditions*By clicking "submit," the applicant acknowledges the following: Rebate offer(s) may be changed or discontinued at any time by Clatskanie PUD (CPUD). CPUD disclaims any warranty, whether expressed or implied, regarding the energy-efficient upgrade(s) listed on this application for any materials or labor associated with installation, maintenance, repair, or any energy savings associated with use. I understand that the energy-efficient upgrade(s) must be installed to CPUD specifications, and certify that I, or my contractor, have reviewed the specifications prior to beginning work. When selecting a contractor, I understand that it is the business owner's responsibility to request proof of insurance and licensing that meets the statutes and rules of the Oregon Construction Contractors Board. CPUD strongly recommends validating qualifications before work begins. I understand the above and certify that I am a customer of CPUD, that the energy-efficient upgrade(s) are installed at the address indicated, and that this address is within the CPUD service territory. I agree* Rebate Applications are due within six months of pre-approval to qualify. Allow 4 to 6 weeks for rebate processing after the receipt of all final paperwork. Call 888-883-9879 to learn about additional energy efficiency programs.