Asterisks (*) indicate required fields.
Rebate applications are due within six (6) months of purchase to qualify.
MEMBER INFORMATION
Account Number
*
Are you the account holder?
*
Yes
No
Relationship to Member (if not account holder)
*
Family Member
Landlord
Tenant
Name
*
First
Last
Phone
*
Email
*
Installation Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed 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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
HOME INFORMATION
Electric Heat Source
*
Electric Forced Air
Heat Pump
Central Air Conditioning
*
Yes
No
Square Footage
*
Manufacturer (brand)
*
Home Certification Number (VIN or Serial Number)
*
REBATE INFORMATION
Please click the button below to find current rebate amounts. This will open a new tab.
Rebate Amounts
Only brand new manufactured homes with a permanently installed Forced Air Electric Furnace or Heat Pump qualify for this rebate.
UPLOAD REQUIRED DOCUMENTS
A copy of the Northwest Energy Efficient Manufactured (NEEM) Homes ENERGY STAR qualified compliance certificate must accompany this application.
Attach NEEM compliance certificate
*
Max. file size: 20 MB.
Application Notes
Please insert any notes that you would like us to review with your application.
SUBMIT YOUR APPLICATION
Terms and Conditions
*
By clicking "submit," the applicant acknowledges the following:
Rebate offer(s) may be changed or discontinued at any time by Blachly-Lane Electric Cooperative (BLEC). BLEC is released of any liability associated with the selection, installation, or operation of the equipment which was purchased under this program, and in no way is BLEC responsible for the safety or satisfactory performance of this equipment. BLEC will not accept any liability caused by the member’s participation in this program. BLEC reserves the right to inspect the manufactured home for compliance.
I understand the above and certify that I am a member of BLEC, that the new manufactured home is located at the installation address and that this address is within the BLEC service territory.
I agree
Rebate Applications must be submitted within six (6) months of purchase to qualify. Allow 8 to 10 weeks for rebate processing.
Call 888-883-9879 to learn about additional energy efficiency programs.