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Electric Lawn and Garden Rebate Form

REBATE PROGRAM OPENS SPRING 2024

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Electric Lawn Garden Rebate
Mailing Address
Mailing Address
City
State/Province
Zip/Postal

Retail Store Information

Robotic Mower / Batter Powered Riding Mower

Battery Powered Push Mower

Battery Powered Lawn Equipment

Rebate Checklist

In order to receive your rebate, the following is required:*
Checklist

Signature

Submission of this form verifies that the applicant has provided accurate information to participate in the program. Applicant further certifies that:

1. All rules and requirements of this program have been followed.

2. The rebate equipment has been installed and is operational prior to submission of this application.

3. Applicant certifies that equipment will be utilized by the member at the location listed on this application.

4. Applicant will allow inspection of the rebated equipment (if requested).

5. Applicant understands applicant will not receive a rebate unless all rebate requirements are met.

Use your mouse or finger to draw your signature above

Submitting an Application

Applications and supporting documents may be submitted one of the following ways:

· Email: rebates@cornbeltenergy.com

· Mail to Corn Belt Energy, Attention: Rebate Processing, 1 Energy Way, Bloomington, IL 61705

· Submit online

Please make and keep a copy of the application and supporting documents for your records. Applications will only be accepted for purchases made between May 1 - June 30, 2022. Applications must be submitted and post marked no later than June 30, 2022, to receive rebate.

We cannot process applications if required documentation/information is not included. Please read this application carefully and include all information requested. Not submitting requested documents will significantly delay processing and may disqualify the application. Please upload supporting documents below. Make and keep a copy of supporting documents for your records until your rebate has been successfully processed.

Maximum file size: 268.44MB

Multiple files may be uploaded.