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Merced-Irrigation-District-Home-Appliances-

Merced-Irrigation-District-Home-Appliances-

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Published by: Genability on Mar 25, 2013
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Merced Irrigation District
Residential Home Appliance Rebate Application
744 West 20
th
St. PO Box 2288, Merced, CA 95340Phone: 209-722-5761 Fax: 209-726-7010Page 1 of 4
 
Residential Home Appliance Rebate Application and Instructions
 
Customer information:Customer Account #: Customer email Address:Customer Name:Customer Address:City: Zip: Phone#:How to Apply:1.
 
Read the Terms and Conditions
 The terms and conditions are found in this Appliance Rebate Form. Applications will beaccepted on a first-come, first-served basis. Please call MID at 209-722-5761 to determine if rebate forms are still being accepted and funds are still available before submitting yourapplication.
This program shall at all times be subject to change or termination without priornotice.
 
2.
 
Complete Rebate Form and mail with proof of purchase
After the qualifying product(s) are installed, complete the Rebate Form. Mail completed formalong with your proof of purchase to:
Merced Irrigation DistrictAttention: Public Purpose Program ManagerP.O. Box 2288Merced, CA 95344-02883.
 
Keep a copy of your completed Rebate Form
Keep copies of all documents including the signed and dated Rebate From and proof of purchase before submitting for rebate.
4.
 
Be prepared to participate in any required verification of installation
MID may verify the energy-efficient product(s), customer eligibility and installation prior topayment of rebate.
TERMS AND CONDITIONS
– Read, sign and dateAs a qualified MID customer, I certify that I have purchased the indicated energy-savingproduct(s) for use in my home and not for resale. I agree to verification by MID of both the salestransaction(s) and product installation and I certify that the information on this application is trueand correct. I understand that rebate payment(s) are based on related energy benefits over thelife of this product.
 
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Merced Irrigation District
Residential Home Appliance Rebate Application
744 West 20
th
St. PO Box 2288, Merced, CA 95340Phone: 209-722-5761 Fax: 209-726-7010Page 2 of 4
 
I agree that:
1.
 
I must be a residential customer on a residential rate with an active meter serviced by MID. Theproduct(s) I have installed shall be designated to reduce the energy consumption distributed tome by MID at the installation address above.2.
 
I understand the rebate offer is limited to residential customers for residential use. The energy-efficient product(s) must be installed in a residential dwelling within MID’s service area and musthave been purchased within 12 months of the submittal of this application .3.
 
Resale products, products leased, rebuilt, rented, received from insurance claims, won as a prizeor new parts installed in existing products do not qualify.4.
 
I understand that this signed and dated Rebate Form, all appropriate proof(s) of purchase, andother required documentation as referenced in this application must be sent to MID.5.
 
A rebate check for qualifying product(s) is generally mailed 6 to 8 weeks after MID receives andapproves a completed application including all required documentation. Additional time maybe necessary if an application is selected for verification.6.
 
I understand that the selection of qualifying product(s), manufacturer, dealer, supplier and/orinstaller and purchase, installation and ownership/maintenance of the qualifying product(s)referenced in this application are my sole responsibility. I understand that my manufacturer,dealer, supplier or installer of these products and measures is not an agent or representative oMID. I understand that MID makes no representation regarding manufacturers, dealers,contractors, materials or workmanship
. I ALSO UNDERSTAND THAT MID MAKES NO WARRANTWHETHER EXPRESSED OR IMPLIED, INCLUDING WITHOUT LIMITATION THE IMPLIED WARRANTIES OFMERCHANTABILITY AND FITNESS FOR ANY PARTICULAR PURPOSE, USE OR APPLICATION OF THEPRODUCTS OR MEASURES
. I agree that MID has no liability whatsoever concerning (1) the quality,safety and/or installation of the product(s) or measures, including their fitness for any purpose; (2)the estimated energy savings of the product(s) or measures; (3) the workmanship of any thirdparties, (4) the installation or use of the product(s) or measures including, but no limited to, effectson indoor pollutants; and any other matter with respect to the MID Home Appliance Rebateprogram. I waive any and all claims against MID, its directors, officers, employees, or agentsarising out of activities conducted by or on behalf of MID in connection with my application forany rebate(s) under the MID Home Appliance Rebate Program.I have read and understand the above terms and conditions. I certify that the information I haveprovided is true and correct and the product(s) and/or equipment for which I am requesting arebate meets the requirements in this rebate form.Customer Signature:Name:Date:
 
3
Merced Irrigation District
Residential Home Appliance Rebate Application
744 West 20
th
St. PO Box 2288, Merced, CA 95340Phone: 209-722-5761 Fax: 209-726-7010Page 3 of 4
 
Residential Home Appliance Rebate Application and Instructions
 
All product(s) must be Energy Star® labeled to qualify for a rebate.Provide all information requested on this Rebate Form for all products purchased and installed.A list of qualifying appliances is available at .energystar.gov/products.  APPLIANCESQUANTITY PURCHASEDAREBATE/UNITBREBATE TOTAL= A x BEnergy Star® LabeledRefrigeratorUnit(s) _____$100/unitManufacturer Name_________________________________Model No.________________________________Purchase Date: __________________Install Date: ______________________$ __________Energy Star® LabeledClothes WasherUnit(s) _____$75/unitManufacturer Name_________________________________Model No.________________________________Purchase Date: __________________Install Date: ______________________$ __________Energy Star® LabeledDishwasherUnit(s) _____$75/unitManufacturer Name_________________________________Model No.________________________________Purchase Date: __________________Install Date: ______________________$ __________

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