Heat Cable Automation Rebate Form
Program
Record Type Name
Record Type ID
SMPA Member Information
First Name
(Name on Bill)
Last Name
(Name on Bill)
Enter your Account #
Email
Best contact if any issues with processing
Phone
Best contact if any issues with processing
Equipment Location Data
First Name
Last Name
Street
City
State
(Please use Postal Format. (example: "CO"))
Zip Code
Heat Cable Information
Total Number of Watts Under Control
Manufacturer
Installers
Rebate Category
Residential
Commercial/Industrial
Total kW Rating
Upload Attachments Here
Upload Itemized Receipts Here
Applications submitted without a receipt will be considered incomplete and will not be processed
Please upload a spec sheet or supporting documentation
Please upload a spec sheet or supporting documentation