Appliance Rebate Application

Fill out the form below online or click here to download the form

** If you choose to download the form, please fill out, scan and send to ahout@missionvalleypower.org

Appliance Rebate Form

Conservation Rebate form for appliances

Date(Required)

Account #(Required)

Location Number

Name(Required)

First Last

Phone Number:(Required)

Phone # of Residence if different:

Email Address:

Mailing Address(Required)

Street Address City State ZIP Code

Name and Address where installed:

First Last

Install Address(Required)

Street Address City State ZIP Code

New Construction(Required)

Yes

Appliance Type:(Required)

Air Conditioner ($15)

Clothes Washer ($50)

Clothes Dryer ($50)

Dehumidifier ($15)

Freezers ($15)

Refrigerators ($15)

Manufacturer:(Required)

Model Number:

IMEF (for clothes washer)

Number of Appliances

Total Rebate Amount Due:

Copy of Receipt of Purchase & Yellow Energy Guide Sticker(Required)

Drop files here or

Accepted file types: jpg, pdf, png, gif, jpeg, tiff, Max. file size: 50 MB.

I certify that this appliance was purchased for installation at the above address. I will allow a representative of Mission Valley Power to verify the installation of the energy efficient appliance.

Customer Signature:(Required)

Please allow up to 8 weeks for the billing credit to be issued to your account after submitting your completed application and all required documentation.

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After Hours 406-883-7972

Office 406-883-7900