Commercial ENERGY STAR Qualified Clothes Washer Rebate Application Asterisks (*) indicate required fields.CUSTOMER INFORMATIONAccount Number* Company Name on Account* Company Name Contact Name* First Last Contact Phone*Contact Email* Enter Email Confirm 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 INFORMATIONPlease click the button below to find current rebate amounts. This will open a new tab. Rebate Amounts Clothes Washers must be ENERGY STAR v2.2 qualified to qualify for the rebate. The building must have an electric water heater in order to qualify. NEW PRODUCT INFORMATIONWater Heater Type*Water heater must be electric to qualify for the Clothes Washer rebate Electric Gas Unfortunately, building must have an electric water heater to qualify for the Clothes Washer rebate.What kind of dryer do you have?* Electric Gas Clothes Washer Brand* Clothes Washer Model Number* Quantity*Upload Receipt(s) or Invoice(s)*Receipt(s) or invoice(s) must be submitted for each new rebate-eligible clothes washer. Must include brand and model number, price, and date of purchase. Purchase date must be on or after October 1, 2019 to receive the current rebate amount.Max. file size: 20 MB.Upload proof of ENERGY STAR Qualification*Please upload a copy of the Energy Guide label showing the ENERGY STAR logo for each new rebate-eligible clothes washer. 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 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. CPUD 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 customer of CPUD, that the product(s) are installed and operating at the location indicated and that this address is within the CPUD service territory. I agree Allow 4 to 6 weeks after the receipt of all final documentation for rebate processing. Call 1-888-883-9879 to learn about additional energy efficiency programs.