Heat Pump Rebate Form

Before filling out this application, please ensure that you have completed the required post-install.

Q&A Form through Abode Energy Management.

WMGLD Number you

Rebate Type

Confirm Abode Completion

I verify that I have completed the Abode Q&A.

Customer Information

12-digit WMGLD Account Number:

Account Holder Name

First

Last

Phone

Utility Account/Installation Address (please do not list P.O. Box #)

Address

Address Line 1

Address Line 2

City

State

Zip Code

Contactor Information

Company Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Brand

Model

AHRI Number

Associated Indoor Unity Model Number(s)

Purchase Date

* Actual tons are calculated based on AHRI cooling capacity divided by 12,000 BTUs. Rebate amount based on actual tons.

Attachment #1

Click or drag files to this area to upload. You can upload up to 3 files.

Attachment #2

Click or drag files to this area to upload. You can upload up to 3 files.

By clicking the "Submit Application" button, you certify that all information in this form is correct, to the best of your knowledge, and that you adhere to all terms and conditions of this rebate.