Author: debmohelski

APPLY FOR YOUR REBATE TODAY
Fill out this form completely and send it to Moose Lake Water & Light Commission along with a copy of your sales receipt which shows the model number of the appliance you purchased. Include proof the appliance is ENERGY STAR.®
Mail it to:
Moose Lake Water & Light Commission
PO Box 418
Moose Lake, MN 55767-0418
ENERGY STAR ® appliances will give you top performance while conserving energy. Moose Lake Water & Light Commission thanks you for saving energy and helping the environment

Customer Agreement:
I certify that this ENERGY STAR® rated appliance was purchased on or after July 1, 2005 and installed in Moose Lake, MN. I have not received a rebate from Moose Lake Water & Light Commission for this type of appliance for at least Five Years. All statements made in this application are correct. I understand that Moose Lake Water & Light Commission reserves the right to inspect and verify any equipment before issuing a rebate. The rebate amount will be credited to the customer’s account.
_______________________________________
Customer Signature Date

FOR MORE INFORMATION

If you would like more information on the Moose Lake Water & Light Commission rebate program, call 218-485-4100.
Moose Lake Water & Light Commission does not guarantee that specific level of energy or cost savings will result from the
implementation of energy conservation
measures or the use of products funded under this program. Moose Lake Water & Light Commission makes no warrants, expressed or implied, with respect to any equipment
purchased and /or installed, including but not limited to any
warrant of merchantability or fitness for
purpose. In no event shall Moose Lake Water & Light Commission be liable for any
incidental or consequential damages.
Additional rebate will be added with a signed receipt from a recycling center that you
disposed of your old non-energy saving
appliance in the proper method.
PO Box 418
Moose Lake, MN 55767-0418
Phone: 218-485-4100
Fax: 218-485-8729

Your Home Improvement
Appliance Rebate Program

Energy
Solutions
for your Home
Rebate applied
to your utility bill

ENERGY STAR APPLIANCES SAVE YOU ENERGY & MONEY!!
Products that have an ENERGY STAR ® label have achieved the highest rating a product can earn for energy efficiency. (Translation: they are cheaper to use!) By purchasing an ENERGY STAR® rated
appliance, you will use less energy, save money on your electric bill, and help reduce pollution. Look for the ENERGY STAR ® label on all kinds of electrical equipment.
Rebates (in the form of a credit on your utility bill) from Moose Lake Water & Light Commission will help you save even more!
Save Energy! Save Money!
Help the Environment!
Residential customers of Moose Lake Water & Light Commission are eligible for these rebates. Rebates apply to new ENERGY STAR ® rated appliances only.
Applying for your rebate is easy. Just fill out the Rebate Claim Form and send it to Moose Lake Water & Light Commission along with your dated sales receipt, within one year of your purchase.
To view a list of all qualifying models, log onto www.energystar.gov or look for the
ENERGY STAR label on appliances.
ENERGY STAR appliances are available at appliance retailers in Moose Lake and
nationwide.

Moose Lake Water & Light Commission encourages you to install energy efficient appliances in your home by offering
rebates on the following
ENERGY STAR®
appliances.

ENERGY STAR ® / Appliance	Rebate / Amount	Disposal / Amount / (up to)
Clothes Washer	$100.00	$30.00
Dishwasher	$75.00	$30.00
Refrigerator	$125.00	$40.00
Dehumidifier	$50.00	$40.00
Freezer	$75.00	$40.00
Room Air Conditioner	$75.00	$40.00
Central Air Conditioner	$300.00	$40.00
LED Bulbs *	$2.00 per bulb	None
ECM Furnace Motor	$100.00	None
Smart Thermostat	$25.00	None
Electric Water Heater / (Must replace a non-controlled with a 105 gallon or more off-peak water heater. Energy factor of .9 or higher)	$200.00	$40.00

* Rebate only if did not purchase at MLWL
Moose Lake Water & Light customers may not
receive more than one rebate per type of
appliance within a five year period. Multiple rebates may be received in one year for different types of
appliances. All equipment must be installed in
facilities that are served electrically by
Moose Lake Water & Light Commission.
You will receive a credit on your
utility bill for the qualifying rebate.

ENERGY STAR ® APPLIANCE REBATE CLAIM FORM
Customer Information:
MWLW Account #:______________________________
Name:_________________________________________
Mailing
Address:_______________________________________
City:__________________________________________
State:________________ Zip Code:________________
Phone #:_______________________________________
Installed address if different from above:_____________
______________________________________________
(All equipment must be installed in Moose Lake, MN)
Equipment Information:
Appliance type:_________________________________
Brand:_________________________________________
Model:________________________________________
Serial #:_______________________________________
Purchase Date:__________________________________
Installation Date:________________________________