Non-Residential Packaged Terminal Heat Pump Rebate Application Asterisks (*) indicate required fields.CUSTOMER INFORMATIONAccount Number* Company Name on Account* Contact Name* First Last Contact Phone*Contact Email* Site 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 INFORMATIONBuilding Type*Building type must be one of the following: Hotel Motel Bed & Breakfast Dormitory Apartment Hotel Boarding/Rooming House Shelter Nursing Home Retirement Home Assisted Living New Construction PROJECT INFORMATIONProject Type* New Construction Retrofit Existing Heat Source* Electric Zonal Packaged Terminal Air Conditioner (PTAC) Manufacturer* Model 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 INSTALLER INFORMATIONCompany* Contact Email* Enter Email Confirm Email Installer Name* First Last Phone* Work Cell Work Phone Number*Cell Phone Number*REBATE PROGRAM GUIDELINESPlease click the button below to find current rebate amounts. This will open a new tab. Rebate Amounts The space must currently be conditioned by a Packaged Terminal Air Conditioner (PTAC) or zonal electric-resistance heat as the primary heat source. No other heat sources are eligible for the rebate. 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: Contractor final invoice(s) including equipment order of purchase date and the installed cost AHRI certificate (the equipment model on the invoice must match) * 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 energy efficient upgrade(s) listed on this application 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 business owner’s responsibility to request proof of insurance and licensing that meets the statutes and rules of the Oregon State Construction Contractors Board. MW&L strongly recommends validating qualifications before work begins. I understand the above and certify that I am a customer of MW&L, that the energy efficient upgrade(s) are installed at the address indicated and that this address is within 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.