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WMGLD Customer Name (required)
12-digit WMGLD Account Number (required)
Email (required)
Phone
Street Address
City/town
Purchase Price
Purchase Date
Manufacturer AmazonHoneywell/ResideoNest
Model #
Type of Heating Fuel at Residence: Gas (from Municipal)ElectricHeat pumpsDuctless Mini-split
Other type of Heating Fuel:
Does Your Home have a Central Air Cooling System: YesNo
Please attach a copy of your dated sales receipt (must show qualifying model, purchase price and paid in full) and the UPC Code from Package Attachment (6MB max.): Attachment (6MB max.): Rebate will be applied directly to customer account as a credit. Please allow one to two billing cycles for your credit to appear on you bill. By clicking "Submit Form" you agree that all information provided is accurate to the best of your ability.
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