Lighting Rebate Form

Applicant Information

Enter your Account #

First Name

Last Name

Email

Phone

Record Type Name

Service Address Information

Street

City

State Abbreviation

Please select... AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code

Equipment Information

Equipment Type

Please select... LED Bulb (minimum quantity of 5) LED Fixture LED Exit Sign Occupancy Sensor (does not include motion detector bulbs or fixtures)

Quantity

Appliance Types

AppType

Attach Invoice Here

Terms and Conditions

• New equipment must be on cooperative lines. 

• New equipment must be electric.
• Incentive not to exceed 50% of the equipment cost. 
• Incentives are in place until December 31. Funds are limited.
• Required documentation must be submitted within 3 months of purchase. 
• Additional eligibility criteria may apply. Program is subject to change or cancellation without notice. Contact cooperative for details.  

Accept Terms and Conditions