Smart Thermostat Utility Rebate Form
Applicant Information
Full Name
Email Address
Phone Number
Utility Account Number
Installation Address
Thermostat Information
Thermostat Brand
Model
Serial Number
Purchase Date
Retailer Name
Installation Date
Eligibility
I confirm this is a qualifying smart thermostat.
Thermostat is installed at the address above.
I have read and agree to the rebate terms and conditions.
Additional Information
Comments