LED Lights & Fixtures 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

LED Lights & Fixtures

Conservation Rebate form for adding Energy Efficient LED Lights & Fixtures to your home.

Name

This field is for validation purposes and should be left unchanged.

Date(Required)

Account #(Required)

Location Number

Name(Required)

First Last

Phone Number:(Required)

Email Address:

Address(Required)

Street Address City State ZIP Code

Manufacturer:(Required)

LED Wattage(Required)

5 Watts or Less

5 Watts - 7.5 Watts

7.5 Watts - 10 Watts

10 Watts - 15 Watts

Other Wattage

Light Fixture

Number of 5 Watts or Less Bulbs:(Required)

Subtotal: 5 Watts or Less Bulbs ($4.00 ea.):

Number of 5 Watt - 7.5 Watt Bulbs:(Required)

Subtotal- 5 Watt - 7.5 Watt Bulbs ($4.00 ea.):

Number of 7.5 Watt - 10 Watt Bulbs:(Required)

Subtotal - 7.5 Watt to 10 Watt Bulbs ($4.00 ea.):

Number of 10 Watt - 15 Watt Bulbs:(Required)

Subtotal - 10 Watt to 15 Watt Bulbs ($4.00 ea.):

Number of Other Wattage Bulbs:(Required)

Subtotal - Other Wattage Bulbs ($4.00 ea.):

Number of LED Light Fixtures:(Required)

Subtotal - Light Fixtures ($5.00 ea.):

Total Rebate Amount Due:

Must include a copy of receipt of purchase for qualified bulbs and fixtures:(Required)

Drop files here or

Accepted file types: jpg, pdf, jpeg, gif, png, tiff, Max. file size: 10 MB.

Must include a copy of packaging with the Energy Star Label OR specification sheet showing the model number of the items and the Energy Star designation:(Required)

Drop files here or

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

I certify that the LED’s were purchased for and installed at the above address. I will allow a representative of Mission Valley Power and/or Bonneville Power Administration to verify installation of the energy efficient LED Bulbs & Fixtures.

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.

Lobby Hours

Drive Thru Hours

After Hours 406-883-7972

Office 406-883-7900