Asterisks (*) indicate required fields.
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
Thermostat that controls heat pump has been programmed to control a heat pump (if applicable):
Yes
No
Previous thermostat type:
*
Programmable
Manual
Home type:
*
New Construction
Site Built
Manufactured
Multifamily
Installer
*
Contractor
Homeowner
Installation Date
*
MM slash DD slash YYYY
NEW EQUIPMENT INFORMATION
Please click the button below to find current rebate amounts and the qualified products list. This will open a new tab.
Rebate Amounts
How many new Smart Thermostats are being installed?
*
1
2
Smart Thermostat 1
Manufacturer
*
Model Number
*
Serial Number
*
Heating system controlled by Thermostat 1:
*
Electric Forced Air Furnace
Air/Water Source Heat Pump
Non-Electric
Unfortunately, the thermostat must control an electric heating system to qualify for the rebate.
Occupancy detection has been set to "ON":
*
(It is required that you enable occupancy detection)
Yes
No
Smart Thermostat 2
Manufacturer
*
Model Number
*
Serial Number
*
Heating system controlled by Thermostat 2:
*
Electric Forced Air Furnace
Air/Water Source Heat Pump
Non-Electric
Unfortunately, the thermostat must control an electric heating system to qualify for the rebate.
Occupancy detection has been set to "ON":
*
(It is required that you enable occupancy detection)
Yes
No
UPLOAD REQUIRED DOCUMENTS
Upload your Purchase Receipt(s)
*
A copy of your purchase receipt(s) for each new Smart Thermostat is required. Purchase receipt(s) should show model number, manufacturer, quantity, date of purchase, and cost.
Drop files here or
Select files
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 disclaims any warranty, whether expressed or implied, regarding the product(s) listed above for any materials or labor associated with installation, maintenance, repair, or any energy savings associated with use. Rebate offer(s) apply to new product(s) only. BLEC reserves the right to inspect installed product(s). Product(s) must meet all program criteria to qualify for rebate(s). I understand the above and certify that I am a member of BLEC, that the product(s) are installed and operating at the location indicated and that this address is within the BLEC service territory.
I agree
Rebate Applications are due within six (6) months of purchase to qualify. Allow 8 to 10 weeks for rebate processing after the receipt of all final paperwork.
Call 888-883-9879 to learn about additional energy efficiency programs.