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High-Efficiency Heating & Hot Water EquipmentRebates for Home and Small Business
Rebates
Bay State Gas
•
Berkshire Gas
•
National Grid (NewEngland)
•
New England Gas
•
NSTAR Gas
•
Unitil
2009 GasNetworks. All Rights Reserved.
 
 H i g h - e f f i c i e n c y  e q u i p m e n t  a l s o  m a y  q u a l i f y  f o r  F e d e r a l  T a x  C r e d i t s. V i s i t 
 w w w. e n e r g y s t a r. g o v/ t a x c r e d i t s
 f o r  m o r e  i n f o r m a t i o n.
 
HOW TO PARTICIPATE:
Consult your licensed heating contractor or plumberfor a listing of models that are eligible for theGasNetworks Rebate Program.Once your new natural gas,high-efficiency heatingsystem and/or high-efficiency water heating systemhas been installed,review and complete this rebateapplication.Then attach a copy of all dated receipts/work orders that document the installation.Make sure that thesereceipts indicate the name,license #,address,and phonenumber of the contractor that completed the installation.Mail the signed rebate form with attachedreceipts to:
GasNetworks40 Washington Street,Suite 2000Westborough,MA 01581
Make sure to make a copy of the rebate form for your records.
123
High-Efficiency EquipmentRebate Program
ELIGIBLE EQUIPMENTREBATE
HIGH-EFFICIENCY NATURAL GASWARM AIR FURNACE
 AFUE* Rating 92% or greater w/Electronic Commutated
$400
Motor or listed on www.gamapower.org as electricallyefficientThis rebate is in partnership with National Grid,NSTAR Electric,Western Massachusetts Electric Company,and Cape LightCompact. AFUE Rating 92% or greater
$100HIGH-EFFICIENCY NATURAL GAS BOILER
Steam Boiler – AFUE Rating 82% or greater
$200
Hot Water Boiler – AFUE Rating 85% or greater
$500
Hot Water Boiler – AFUE Rating 90% or greater
$1,000COMBINED HIGH-EFFICIENCY BOILERAND WATER HEATING UNIT
Minimum AFUE Rating of 90% with hot water
$1,300
storage of 2 gallons or less
HIGH-EFFICIENCY INDIRECT WATER HEATER
 Attached to a natural gas boiler(30- to 70-gallon tank size)
$300HIGH-EFFICIENCY ON-DEMAND,TANKLESSWATER HEATER
.82 EF (Energy Factor) or greater with Electronic Ignition
$300ENERGY STAR
®
-RATED STORAGE WATER HEATER
.62 EF (Energy Factor)
$50ENERGYSTAR
®
-LABELED NATURAL GASPROGRAMMABLE THERMOSTAT
ENERGYSTAR
®
-Labeled Programmable Thermostat
$25
There is a two-rebate limit per account,and the rebatecannot exceed the purchase price of the thermostat.
*Annual Fuel Utilization Efficiency
PROGRAM GUIDELINES:
• You must be a customer of a GasNetworks memberutility:Bay State Gas,Berkshire Gas,National Grid(New England),New England Gas,NSTAR Gas,or Unitil.• All installations of high-efficiency heating systems(furnaces and boilers) and/or water heating systems(indirect,storage,or on-demand tankless) must beinstalled by a licensed contractor and/or plumber.Allinstallations must conform to all applicable codes andbe installed in accordance with all rebate ProgramGuidelines.• All proof of purchase receipts,work orders or otherdocumentation must include the contractor name/ license #/address/phone number,installation cost,and an itemized description of the equipment,includingmanufacturer,model number,and AFUE (Annual FuelUtilization Efficiency) or EF (Energy Factor) rating,as applicable.• All installations are subject to verification that theequipment has been installed and is operational.• Please read all Terms and Conditions on the reverseof the rebate application.• Rebate offers subject to change without notice.Some restrictions may apply.
ADDITIONAL REBATE OFFERS
For more information about the wide array of GasNetworksEnergy Savings Rebates and Programs,log on to
www.gasnetworks.com
or call
1-800-232-0672
 
 Attach copies of all receipts with equipment make,model and sizedocumenting the installation of the equipment.Complete all questions,read all terms and conditions,and sign the application.Make sure utility and account number are listed above.Make a copy of the front and back of this application for your records.Mail completed,signed application and all corresponding documentation to:
GasNetworks,40 Washington St.,Suite 2000,Westborough,MA 01581
PLEASE CHECK YOUR GAS UTILITY: BAY STATE GAS BERKSHIRE GASNATIONAL GRID (NEW ENGLAND) NEW ENGLAND GAS NSTAR GAS UNITILGAS UTILITY ACCOUNT NUMBER:
(where equipment was installed)(utility account numbers may vary—all boxes may not be necessary)
NAMEHOME PHONEWORK PHONEINSTALLED ADDRESSCITYSTATEZIPMAILING ADDRESS
(if different)
CITYSTATEZIP
HIGH-EFFICIENCY NATURAL GAS FURNACE REBATE
WHAT DID YOU INSTALL? NATURAL GAS FURNACE
≥
92% AFUE NATURAL GAS FURNACE W/ECM
≥
92% AFUEMANUFACTURERMODEL # AFUE DATE INSTALLEDTOTAL COSTINSTALLED BY (CONTRACTOR NAME)REBATE AMOUNT $____________ REPLACED UNIT INFORMATION: GAS OIL ELECTRIC PROPANE NEW CONSTRUCTION
HIGH-EFFICIENCY NATURAL GAS BOILER AND COMBINED BOILER/WATER HEATING UNIT REBATES
WHAT DID YOU INSTALL? NATURAL GAS STEAM BOILER
≥
82% AFUENATURAL GAS HOT WATER BOILER
≥
85% AFUENATURAL GAS HOT WATER BOILER
≥
90% AFUENATURAL GAS COMBINED BOILER/WATER HEATING UNIT
≥
90% AFUEMANUFACTURERMODEL # AFUE DATE INSTALLEDTOTAL COSTINSTALLED BY (CONTRACTOR NAME)REBATE AMOUNT $____________REPLACED UNIT INFORMATION: GAS OIL ELECTRIC PROPANE NEW CONSTRUCTION
HIGH-EFFICIENCY NATURAL GAS WATER HEATER REBATE
WHAT DID YOU INSTALL? INDIRECT WATER HEATER ON-DEMAND TANKLESS WATER HEATER
≥
.82 ENERGY FACTOR W/ELECTRONIC IGNITIONENERGY STAR
®
-RATED STORAGE WATER HEATER WITH .62 ENERGY FACTORMANUFACTURERMODEL #DATE INSTALLEDTOTAL COSTINSTALLED BY (CONTRACTOR NAME)REBATE AMOUNT $_____________ REPLACED UNIT INFORMATION: GAS OIL ELECTRIC PROPANE NEW CONSTRUCTION
ENERGY STAR
®
-LABELEDNATURAL GAS PROGRAMMABLE THERMOSTAT REBATE
$25 REBATE FOR ENERGY STAR
®
-LABELEDPROGRAMMABLE THERMOSTAT (LIMIT 2 PER ACCOUNT)MANUFACTURERMODEL #QUANTITY_____TOTAL COST $____________REBATE AMOUNT $____________
(rebate not to exceed the purchase price)
Please include a dated receipt and original UPC code from the package.
GasNetworks Rebate Form
( )( )
Please allow 4-6 weeks for your rebate request to be processed.
 APPLICATION CHECKLIST
I hereby request a rebate for the above listed work. Attached arecopies of all receipts. I have read and agree to the Terms andConditions on the reverse of this form. I certify that a licensedcontractor has installed the above high-efficiency natural gasheating and/or water heating system in accordance with ProgramGuidelines and Terms and Conditions as described on the reverse.
SIGNATUREDATE
Be sure to attach copies of all your receipts and mail them with this signed application to: GasNetworks,40 Washington Street,Suite 2000,Westborough,MA 01581
Some restrictions may apply. Rebate offers are subject to change without notice.
M AK E  S U R E  Y O U R  AP P LI C AT I O N  I S C O M P LE T E ! 
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