ENERGY STAR Certified Pool Pump Rebate Application

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