InstagramThis field is for validation purposes and should be left unchanged.Member InformationName(Required) First Last Account Number(Required)Address where appliance is installed:(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Member Type(Required) Homeowner Renter Landlord Builder Other Applicant Consent(Required) By signing this application, I certify the appliances for which I am claiming a rebate are qualifying ENERGY STAR rated products and are installed at the address listed above which represents a valid cooperative account.Applicant Electronic Signature (Full Name)(Required)Equipment InformationReceipt provided(Required) Yes Smart Thermostat ManufacturerSmart Thermostat Model NumberDehumidifier ManufacturerDehumidifier Model NumberDryer ManufacturerDryer Model NumberFreezer ManufacturerFreezer Model NumberRefrigerator ManufacturerLimit 1 refrigerator or freezer per householdRefrigerator Model NumberLimit 1 refrigerator or freezer per householdRecycling of refrigerator or freezer byDid this rebate influence your decision to buy this appliance? Yes No Retailer InformationRetailer/Store Name(Required)Location(Required)Rebates are available for the purchase of new ENERGY STAR® rated products purchased on or after January 1, 2025. The purchased products must be installed where electricity is supplied by the Cooperative. Rebate submittal must follow the guidelines as outlined by the Cooperative. The Cooperative is not responsible for inaccurate information supplied by appliance dealers. Rebates will be issued only for products on the current list of ENERGY STAR rated products as of the purchase date. ENERGY STAR occasionally removes products from qualifying lists, and the Cooperative will not rebate products that have been delisted as of the purchase date or are mislabeled as ENERGY STAR. To verify ENERGY STAR certification for appliances and lighting, visit www.energystar.gov. Rebate program is subject to change or cancellation without notice. Call MLEC to verify rebate program status and availability of rebates.Important Rebate amount is $75 for Energy Star refrigerator or freezer with recycling or haul away of old refridgerator or freezer. $25 for smart thermostat. $25 for dehumidifier or dryer. The amounts will be applied as a credit to electric account. The appliance(s) must be installed within MLEC’s service territory. Incomplete forms will not be processed. Include a copy of the original dated sales receipt and a dated receipt from the recycler for replacement refrigerator and/or freezer. Rebate program is subject to change or cancellation without notice Include any sales receipt Drop files here or Select files Max. file size: 100 MB.