New ENERGY STAR Qualified Manufactured Home Rebate Application Asterisks (*) indicate required fields.CONSUMER INFORMATIONAccount Number* Are you the account holder?* Yes No Relationship to Consumer (if not account holder)* Family Member Landlord Tenant Name* First Last Phone*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 HOME INFORMATIONElectric Heat Source* Electric Forced Air Heat Pump Central Air Conditioning* Yes No Square Footage*Manufacturer (brand)* Home Certification Number (VIN or Serial Number)* REBATE INFORMATIONPlease 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. Rebate Applications must be submitted within six (6) months of purchase to qualify.UPLOAD REQUIRED DOCUMENTSA 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 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 Columbia Basin Electric Cooperative (CBEC). CBEC 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 CBEC responsible for the safety or satisfactory performance of this equipment. CBEC will not accept any liability caused by the consumer’s participation in this program. CBEC reserves the right to inspect the manufactured home for compliance. I understand the above and certify that I am a consumer of CBEC, that the new manufactured home is located at the installation address and that this address is within the CBEC service territory. I agree Allow 8 to 10 weeks after final inspection approval and receipt of all required documentation for rebate checks to be issued and mailed. Call 888-883-9879 to learn about additional energy efficiency programs.