Energy Efficient Appliance Rebate Application

 
 

Terms and Conditions

  1. Must have a City of Anacortes water customer account and reside in the City of Anacortes city limits.
  2. Address of installation must be located within Anacortes City Limits.
  3. This rebate program is for replacement of old appliance not new construction.
  4. Renters must have written permission from property owner prior to installation and attached to rebate.
  5. Rebates are only valid while funds last and subject to change without prior notice.
  6. Residential customers are eligible for one rebate per appliance type per customer address for a maximum of two new energy efficient appliance rebates.
  7. Pre-owned and leased appliances are not eligible for rebate program.
  8. The new appliance must have been purchased on or after January 1st, 2016.
  9. Completed form for rebate must be postmarked within 90 days of purchase date.
  10. Applicant must provide two photos of appliance after installation.
  11. Customers must comply with all Terms and Conditions to be eligible for rebates which includes a completed application, copy of sales receipt, and two photos of installed appliance.
  12. Rebate will be mailed to applicant after terms and conditions are met.
 

Rebate Application

Name *
Name
Address *
Address
Rent or Own *
For Renters: Do you have documented permission? *
Phone *
Phone
Mailing Address (If different)
Mailing Address (If different)
Purchase/Application Information
Rebate Program (check all that apply) *
Washing Machine
$
Approximate Purchase Date of Old Washing Machine
Approximate Purchase Date of Old Washing Machine
Dishwasher
$
Approximate Purchase Date of Old Dishwasher
Approximate Purchase Date of Old Dishwasher
Toilet
$
Approximate Purchase Date of Old Toilet
Approximate Purchase Date of Old Toilet
Accept Terms *