C&I Lighting Rebate

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Member Information

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Company Name

Mailing Address

City

State

Zip Code

Phone

Record Type ID

Record Type Name

Job Site Information

Job Site Address

City

State

Zip Code

Facility Size (approx. sq. ft.)

Lighting Contractor/Company Information

Lighting Co. or Installing Contractor

Contractor Address

City

State

Zip Code

Existing Lamps Removed / To Be Removed

Existing Lamps Total Watts

New Energy Efficient Lamps Installed / To Be Installed - Interior

New Energy Efficient Lamps Installed / To Be Installed - Exterior

New Lamps Total Watts

Total Lamp Watts Reduced

Annual Facility Hours of Operation

Project Cost (excluding labor)

Project Completion Date

Project Rebate Amount