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2013 Mail-in Reba te

1. What was the main reason you purchased an ENERGY STAR qualified clothes washer Check all that apply. Energy savings Gentler on clothes Rebate Less detergent required Takes up less space Water savings Larger capacity Cleaner clothes Quieter Like to buy the best Other 2. Did you notice the ENERGY STAR rebate before you decided to purchase this model clothes washer? Yes No 3. Did you consider buying a clothes washer that was not ENERGY STAR qualified? Yes No 4. Did this JEA ENERGY STAR rebate help you to decide to buy this model clothes washer? Yes No 5. How did you hear about ENERGY STAR qualified clothes washers? Check all that apply. Newspaper ad Magazine ad Insert in your utility bill Friend/relative/coworker TV ad Web site Retailer/Salesperson News report/article Other

Rebate made possible by


$25 Off
All ENERGY STAR Qualified Clothes Washers
Valid for purchases made January 1, 2012December 31, 2013 or while funds are available for this program. All rebate requests must be postmarked no later than January 31, 2014. Qualifying clothes washer must be installed within the JEA electric service territory. For more information call toll-free: 1.866.847.8237 or visit

EnErgy Star qualied clothes washers save energy, save money, and help protect the environment.
Join the national effort to use energy wisely. Buy appliances that have earned the ENERGY STAR. Only products delivering the highest level of energy efficiency are awarded the ENERGY STAR from the U.S. Environmental Protection Agency and the U.S. Department of Energy. For a limited time only, JEA is offering residential customers $25 back on the purchase of any eligible standard-capacity ENERGY STAR qualified clothes washer with a Modified Energy Factor (MEF) of 1.80 or higher and a Water Factor (WF) of 7.5 or less. These clothes washers are at least 75% more efficient than conventional models and are backed by the ENERGY STAR label.
Average Consumption kWh/year Gallons water/year Yearly cost to operate Lifetime cost to operate (11 yrs.) New Conventional Clothes Washer 820 12,768 215.72 $2,372.92 New ENERGY STAR Clothes Washer 205 6,128 $67.14 $738.55 City: Mfr. and Model #: Name and address of store: State: Zip: Please fill out completely. ALL INFORMATION BELOW IS REQUIRED. Your JEA Account Number: Your Name: Account/Installation Address:

City: Home Tel: Mailing Address (if different):

State: Work Tel:


By purchasing an ENERGY STAR qualified clothes washer with this rebate instead of a conventional model, you can: Save on average $150 in energy and water costs each yearthats $1,650 over the life of the washer! Save on average 6,640 gallons of water per yearthats more than 73,000 gallons over the life of the washer! Just look for the ENERGY STAR. Only products delivering the highest level of energy efficiency can earn the ENERGY STAR. Look for it at participating retailers. For a complete list of dealers call 1-866-847-8237 or visit
$25 MAIL-IN REBATE To receive your $25 rebate check from JEA on your eligible ENERGY STAR appliance purchase, please fill out this form completely and mail it with copies of the following supporting documents to the address listed below: Your dated sales receipt and/or invoice showing appliance manufacturer, model number and price Your recent JEA electric bill This rebate is valid for purchases made January 1, 2012 through December 31, 2013. Limit one rebate per appliance type per JEA residential electric utility customer. Incomplete information will delay or disqualify your rebate. All rebate requests must be postmarked no later than January 31, 2014. Mail to: JEA Clothes Washer Rebate 40 Washington St, Suite 2000 Westborough, MA 01581-1013

Purchase Price: $

Purchase Date:

Yes, I wish to receive e-mail about energy-related products and services. E-mail address: I have the following appliance(s) in my home: Appliance Appliance Type Other

Water Heater Electric Natural Gas Oil Average # dishwasher loads/week

Do you wash clothes in only cold water only hot water both hot and cold Clothes Dryer Single Family Own Primary Residence # of persons in household
Please continue to questions on back of brochure.

Average # loads/week

Electric Natural Gas Other Condo/Townhouse Rent Vacation Home Multifamily # of units

House type (check all that apply):