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Commercial Equipment Rebate Application
Commercial Equipment Rebate Application
"
*
" indicates required fields
Company Name
*
Name of Contact Person
*
Contact Phone Number
*
Email
*
Address Where Equipment is Installed (include unit # if applicable)
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Street Address
City
ZIP Code
Check Payable To
Name
Mailing Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
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New York
North Carolina
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Northern Mariana Islands
Ohio
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Puerto Rico
Rhode Island
South Carolina
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
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State
ZIP Code
Installation Contractor's Name
*
Type of Equipment
*
Choose
Boiler (500-800 MBH) 94%+ TE @ $5000
Boiler (300-499 MBH) 94%+ TE @ $2500
Boiler (<300 MBH) 95%+ AFUE @ $1200
Boiler (<300 MBH) 90-94% AFUE @ $1000
Hot Air Furnace 97%+ AFUE @ $800
Hot Air Furnace 95-96% AFUE @ $500
Water Heater (200-300 MBH) 94%+ TE @ $800
Water Heater (75-199 MBH) >.90+ UEF @ $600
Tankless Water Heater .95+ UEF @ $1000
Tankless Water Heater .90-.94 UEF @ $600
Unit Heaters 90%+ TE @ $1500
Infrared Heaters (low-intensity tube heater) @ $1000
Carbon Dioxide Sensor Control @ $250/sensor
Smart Thermostats @ FREE
Equipment Make
*
Equipment Model #
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Date Equipment was Installed
*
MM slash DD slash YYYY
Contractor's Final Invoice (Must include: BTU size, make, model and serial number of the installed equipment.)
*
Max. file size: 50 MB.
Notes
Terms And Conditions
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I Acknowledge Rebate Program Terms and Conditions
*
1. You must be a commercial customer of VGS with a G1, G2, G3 or G4 natural gas rate and installing high efficiency gas equipment in an existing building.
2. If your rebate amount exceeds $5,000 project approval and an incentive agreement will be required from VGS.
3. All Equipment must have an active listing with the American Heating and Refrigeration Institute (AHRI) or ENERGY STAR to be considered for a rebate. Manufacturer’s claims will not be considered.
4. Customers must provide the Contractor’s final invoice to VGS for payment. Contractor’s invoice must include: size, make, model and serial number of the installed equipment.
5. Equipment must be installed by a Natural Gas Certified contractor.
6. All required information must be provided to be eligible for a rebate. Incomplete applications, missing data, or ineligible equipment may result in the delay or disqualification of the rebate.
7. All Equipment must be installed to manufacturer’s instructions and operating according to all applicable federal, state and local codes and ordinances. VGS has not inspected or tested the installation and it has no responsibility for such compliance. Performance of installed equipment is not guaranteed expressly or implicitly.
8. VGS reserves the right to confirm all installations to verify the accuracy of the efficiency rating of the equipment installed.
9. Rebate amounts and conditions are subject to change without notice.
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