Non-Residential Air Source Heat Pump Retrofit & Upgrade 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 SITE INFORMATIONBusiness Type* Office Retail School K-12 Residential Care Assembly Grocery Food Service Hospital Warehouse PROJECT INFORMATIONHow many heat pumps are you installing?* 1 2 Heat Pump 1Project Type* HP Retrofit HP Upgrade For HP Retrofits, what was the primary heat source?* Electric Zonal Electric Forced Air Furnace For HP Upgrades, what was the primary heat source? Air Source Heat Pump N/A (New Construction or major renovation) Manufacturer* Model Number* Outdoor Unit Cooling Capacity (in tons)* Equipment Size (in tons)* AHRI Number* Heat Pump 2Project Type* HP Retrofit HP Upgrade For HP Retrofits, what was the primary heat source?* Electric Zonal Electric Forced Air Furnace For HP Upgrades, what was the primary heat source? Air Source Heat Pump N/A (New Construction or major renovation) Manufacturer* Model Number* Outdoor Unit Cooling Capacity (tons)* Equipment Size (In Tons)* AHRI Number*INSTALLATION INFORMATIONInstalled Cost (per attached invoice before rebate)*Order/Purchase Date (per attached invoice)* MM slash DD slash YYYY Date of Installation* MM slash DD slash YYYY REBATE PROGRAM GUIDELINESPlease click the button below to find current rebate amounts. This will open a new tab. Rebate Amounts Product must be installed on a unitary system with a constant-speed supply fan. Split systems and rooftop units with variable speed fans are not eligible. 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: Final invoice AHRI certificate * 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 McMinnville Water & Light (MW&L). MW&L disclaims any warranty, whether expressed or implied, regarding the measure(s) listed above 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 MW&L 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 building owner’s responsibility to request proof of insurance and licensing that meets the statutes and rules of the Oregon Construction Contractors Board. MW&L strongly recommends validating qualifications before work begins. I understand the above information and certify that I am a customer of MW&L, that the measure(s) are installed at the address indicated on this application, and that this address is within the MW&L service territory. I agree* Rebate Applications are due within six months of pre-approval to qualify. Allow 6 to 8 weeks for rebate processing after the receipt of all final paperwork. Call 888-883-9879 to learn about additional energy efficiency programs.