1
Additional requirements: SEER > 15 & HSPF > 8.5 SEER > 18 & HSPF > 9.2 Promotion Dates: 06/01/2016 - 05/31/2021 Requests MUST be postmarked within 180 days from the date of installation. To receive your Duquesne Light Visa Prepaid Card by mail, follow these steps: 1. Purchase and install a qualifying product where there is an active meter using Duquesne Light services. 2. Review the Terms and Conditions on the bottom of this application and sign the Acceptance of Terms below. 3. Mail this completed and signed application with the following supporting documents to the address on right. A copy of your most recent Duquesne Light Utility bill. Please include all pages so your supplier agreement ID can be confirmed. A clear legible copy of your itemized receipt/invoice that shows retailer/contractor name, address, phone number, purchase and/or install date, quantity, size, description, manufacturer, model, purchase price and proof of payment. 4. IMPORTANT: Photocopy your entire submission for your records. Duquesne Light Rebates Offer # H947265 PO Box 540062 El Paso, TX 88554-0062 Subject to Watt Choices program funding availability. NOTE: If you are applying for more than one product type, you will receive a prepaid card for each type if all requirements are met. Prepaid cards will be mailed to customers within 60 days of the postmark date on your qualified application. To review the status of your application visit www.rebate-zone.com/wattchoices or you may call 1-877-694-2197 to ask questions. Your right to receive this rebate will not be earned unless you purchase a qualifying appliance and follow each of the steps above. This rebate is available to Duquesne Light customers with mailing addresses in the United States. Duquesne Light is not responsible for lost, late, damaged, illegible, misdirected or postage-due applications. Your rights to this rebate cannot be assigned or transferred. Excessive submissions constitute fraud and may result in federal prosecution under the U.S. mail fraud statutes (Title 18, USC 1341 and 1342). All submitted materials become property of Duquesne Light and will not be returned. Rebate paid in the form of a Visa prepaid card. The Visa prepaid card is not redeemable for cash or usable at any ATM. Terms and Conditions apply to the card. Subject to applicable law, a monthly mainte- nance fee of $3 (USD) applies, but is waived for the first six months after the card is issued. Your card is issued by MetaBank TM , Member FDIC, pursuant to a license from Visa U.S.A. Inc. Cards can be used at any merchants that accept Visa debit cards within the United States and US Territories. Duquesne Light reserves the right to substitute a check of equal value in lieu of a Visa prepaid card at its discretion. (DBK) Qualifying Products Manufacturer Cooling Capacity Date Installed (MM/DD/YYYY) *First Name *Last Name *Address (Your Visa prepaid card will be mailed to this address.) *City *State *Zip Code Email (Used to send status updates regarding this application.) Phone *Signature *Date Model # ALL SECTIONS ARE REQUIRED TO BE COMPLETED IN ORDER TO QUALIFY. Rebate Rebate Expected Central Air Conditioner SEER Rating ≥ 15: ____________ ____/_____/_______ ____/_____/_______ Duquesne Light Visa ® Prepaid Card HVAC Rebate Application $100 per ton Heat Pump (must be electric heat) SEER: _______ HSPF: _______ Heating BTUH: ________ Furnace with High Efficiency Fan Motor (CEE) Motor must be a brushless, fully variable speed DC motor. Excludes multi-speed motors. $100 per ton ____________ (tons) ____________ (tons) Qty ____/_____/_______ $100 Programmable Thermostat (must be electric heat) ____/_____/_______ $25 ____/_____/_______ $100 ENERGY STAR ® Certified Ductless Mini-Split Heat Pump Check box for Contractor Payment Authorization - Account holder must fill in contractor’s information below and sign as authorization. *Contractor First Name: ____________________________________ *Last Name or Contractor Company Name:_______________________________________________________ *Mailing Address: _________________________________________ *City:_____________________________*State:________*Zip:_____________ *Phone:___________________ *Account Holder’s Signature: ________________________________________________________________________*Date: _________________________ For a list of qualifying models, visit rebate-zone.com/wattchoices Acceptance of Terms: I have read the Terms and Conditions of this offer and I understand Duquesne Light reserves the right to audit my rebate application and if requested, I will allow Duquesne Light representatives access to verify the installation of qualifying appliance(s). I understand Duquesne Light may provide my name and address to Duquesne Light representatives to verify this information, and I approve sending the rebate to the address I have provided above. ** Complete this section ONLY if you authorize Duquesne Light to issue your rebate to your contractor. ** *Duquesne Light 10-Digit Supplier Agreement ID: (This can be found on page 3 of your utility bill) *Denotes Required Fields How did you hear about this rebate? Newspaper Radio Service Line Internet In Store Other:_____________________ **This question MUST be answered in order to be eligible for a rebate. Heating Type? Electric Space Heating Electric Space Heating w/AC Natural Gas/Propane/Oil Space Heating Non-Electric Space Heating w/AC HSPF (Heating Seasonal Performance Factor)
