Potomac Edison Rebate Requirements • Applicant must be a Maryland residential customer of Potomac Edison. • Rebate applications are valid for qualified equipment purchased and installed beginning January 1, 2015, through December 31, 2015. • Rebate application must be submitted within 90 days of purchase and be postmarked by January 7, 2016. • Please submit one rebate form per unit. • Rebate application with valid customer account number must be accompanied by a legible copy of the paid itemized sales receipt showing proof of purchase that includes brand, store name, purchase price and date of purchase. • All rebated products must be listed by the EPA as ENERGY STAR certified on www.energystar.gov. • Payment will be issued to the account holder and mailing address on record with the utility. • Please allow up to 90 days from the date all required information is received to process your rebate(s). • All rebated products must be installed and used at the service (install) address specified on the rebate application. • Program procedures, requirements and rebate levels are subject to change or cancellation without notice and are subject to available program funds. • Potomac Edison and/or its designees, including program administrators, do not endorse any particular manufacturer or product as part of this program. • By participating in this program, customer agrees to allow Potomac Edison to take ownership of the energy efficiency resource credits associated with the measures generated through this program. Potomac Edison may at its sole discretion then aggregate your credits with other similarly situated customers and bid the credits into the PJM market through an auction. Any proceeds from any such bids accepted by PJM will be used to offset the costs charged to Potomac Edison’s customers for compliance with state mandated energy efficiency and/or peak demand requirements. Rebates on ENERGY STAR® Certified Pool Pumps FEPE-PPM0415 Learn more about residential energy-saving programs at energysaveMD.com or call 1-844-220-7157 FEPE_RebatePoolPump2015.indd 1 1-844-220-7157 · energysaveMD.com 4/21/15 12:45 PM Pool Pump Rebate Application Payment will be issued to the account holder and mailing address on record with the utility. Name: Street Address: City: State: Primary Phone: ( Take advantage of this energy-saving rebate from Potomac Edison. Zip: ) Variable Speed Pool Pump How was pool pump installed? Self Installed Contractor Installed Was your pool pump calibrated? Yes No Two Speed Pool Pump How was pool pump installed? Self Installed Contractor Installed Was your pool pump calibrated? Yes No Manufacturer: 400 $ Variable Speed Pool Pump Receive a $400 rebate when you purchase an ENERGY STAR® certified variable speed pool pump. A high-efficiency pool pump motor can save the average household up to $340* per year on their electric bill compared to a standard pool pump motor. The potential lifetime savings could be as much as $2,200* with an average pool pump life expectancy of 10 years. New Model Model No.: Existing Model Serial No.: Store Name: Store Location: Purchase Date: Purchase Price: Installation Date: 150 $ Two Speed Pool Pump Receive a $150 rebate when you purchase an ENERGY STAR certified two speed pool pump. On average, an energy-efficient two speed pool pump can save the average household up to $280* per year on their electric bill compared to a standard pool pump motor. The potential lifetime savings could be as much as $2,000* with an average pool pump life expectancy of 10 years. For a list of qualifying models, visit energysaveMD.com to verify the pool pump model meets the rebate requirements. *Source: energystar.gov HVAC contractors who perform work under this program are not affiliated with Potomac Edison or Honeywell International Inc. and their affiliates, and neither Potomac Edison nor Honeywell International Inc. and their affiliates make any promise, warranty or representation regarding work performed by such contractors. These programs support the EmPOWER Maryland Energy Efficiency Act. Costs will be recovered through a monthly EmPOWER Maryland surcharge on customer bills. Participation in these programs can help offset this surcharge. See back panel for additional requirements. FEPE_RebatePoolPump2015.indd 2 Account No.: Is natural gas available at this residence? Yes No Bill Insert Contractor How did you hear about this program? Direct Mail Event Family/Neighbor/Friend FirstEnergy Employee Store energysaveMD.com Yes, I’d like to receive information on other energy-saving programs. Email: ____________________________________________________ (Your email address will be used only for transactional communications regarding energy efficiency programs) I understand Potomac Edison reserves the right to audit my rebate application and if requested, I will allow a Potomac Edison representative reasonable access to verify the installation of qualifying product(s). Customer Signature: Avoid delays in processing your rebate by including the following information: Don’t : forget Completed rebate form Dated sales receipt showing proof of purchase and model number Date: Mail to: Potomac Edison Offer #H047092 P.O. Box 540065 El Paso, TX 88554 4/21/15 12:45 PM
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