COMMERCIAL FOOD SERVICE EQUIPMENT REBATE APPLICATION
SECTION A. CUSTOMER INFORMATION (please print)
Account Name Doing Business As (if different from Account Name)
Installation Address City State Zip Code
Mailing Address (if different from above) (rebate check will be mailed here) City State Zip Code
Account Number
o
Send us a rebate check.
o
Apply rebate to our account.
(Rebates $75 and under will be applied to your account. If a box is not checked a bill credit will automatically be issued.)
Type of Business:
o
Church
o
Government
o
Grocery
o
Health
o
Industrial
o
Lodging
o
Multi-family
o
Office
o
Restaurant
o
Retail
o
School
o
Other___________________________
How did you hear about CONSERVE & SAVE
®
?
o
Billboard
o
Chamber of Commerce
o
Contractor
o
Newspaper
o
Radio
o
Retailer/Vendor
o
Social Media
o
TV
o
Utility Newsletter
o
Utility Representative
o
Utility Web Site
o
Other_________________________
SECTION B. CONTACT INFORMATION (please print)/CUSTOMER SIGNATURE
ATTENTION:
ALL INVOICES OR RECEIPTS AND ALL SPECIFICATION SHEETS MUST BE INCLUDED WITH
YOUR FULLY-COMPLETED AND SIGNED APPLICATION OR APPLICATION WILL BE RETURNED.
( )
Contact Name (rebate check will be mailed to contact) Daytime Phone Number
Email
I certify that all the information in the application (including any associated worksheets) is correct to the best of my knowledge. I have read and
agree to the Terms and Conditions on the back of this application booklet. I understand that if any equipment in conjunction with this application
is
ordered, purchased, or installed before approval from The Utility is received, the proposed project may not qualify for a rebate.
Customer’s Signature Date
o
Check here if you DO NOT give us permission to use your business name in advertising our CONSERVE & SAVE
®
programs.
SECTION C. CONTRACTOR/VENDOR INFORMATION (please print)
Company Name Contact Name
Address City State Zip Code
( )
Daytime Phone Number Email
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OFFICE USE ONLY Date Received:____________________
Inspected (Date & Initials): Pre:__________________ Post:___________________
Approval & Date:_____________________________________
Internal Account Number:_____________________________
TOTAL REBATE:
$
MN
MN
MN
MS
click to sign
signature
click to edit
2
2. REBATE INFORMATION FRYERS
– Must be ENERGY STAR
®
qualified* or listed on the qualifying equipment table located on our website** (For Infrared Fryers see Item #5)
Equipment Type: ELECTRIC GAS (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Manufacturer Name* Model Number* Vat Size* Efficiency* Food Cooked Run Hours Days of Equipment Rebate Total Rebate
(check one)
(see below)
(check one) (%) Per Day (lbs.) Per Day Operation/Year Cost Per Unit*
(Qty X Rebate Per Unit)
o New Installation
o Standard
o $150 electric
o Retrofit
o Large
$ o $250
per gas standard vat
$
o $350 per gas large vat
o New Installation
o Standard
o $150 electric
o Retrofit
o Large
$ o $250
per gas standard vat
$
o $350 per gas large vat
Codes: STANDARD VAT: Electric: 300 Gas: 2300 | LARGE VAT: Electric: 301 • Gas: 2301
1. REBATE INFORMATION DISHWASHERS Must be ENERGY STAR
®
qualified*
AU, OPU, and RPU electric customers: To qualify for the electric rebate, your building water heater and/or the booster water heater (if applicable) must be electric.
AU and OPU gas customers: To qualify for the gas rebate, your building water heater and the booster water heater (if applicable) must both be fueled by natural gas.
Equipment Type: ELECTRIC GAS (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
Code Dishwasher Sanitation Building Booster Idle Rated Water
Equipment Rebate Per Unit Total Rebate
Project Type (
see Tables
Qty.
Manufacturer
Model
Type* Method* Water Heater Water Heater Energy Rate* Consumption*
Cost
(Qty X Rebate Per Unit)
(check one)
below
)
Name* Number*
(check one) (check one) (check one) (check one) (kW) (Gal. per Rack)
(
see Tables below
)
o New Installation o Undercounter o Low Temp o Electric o Electric
o Retrofit o Single Tank Door o High Temp o Gas o Gas $ $ $
o Single Tank Conveyor o High & Low
o Multiple Tank Conveyor Temp
o New Installation o Undercounter o Low Temp o Electric o Electric
o Retrofit o Single Tank Door o High Temp o Gas o Gas $ $ $
o Single Tank Conveyor o High & Low
o Multiple Tank Conveyor Temp
3. REBATE INFORMATION GRIDDLES
Must be ENERGY STAR
®
qualified*
Equipment Type: ELECTRIC GAS (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Manufacturer Name* Model Number* Efficiency* Food Cooked Run Hours Days of Equipment Rebate Total Rebate
(check one) (see below) (%) Per Day (lbs.) Per Day Operation/Year Cost Per Unit*
(Qty X Rebate Per Unit)
o New Installation
o Retrofit
$ $175 $
o New Installation
o Retrofit
$ $175 $
Codes: Electric: 400 • Gas: 2500
* Find qualifying ENERGY STAR products at www.energystar.gov.
**For non-ENERGY STAR products refer to the Qualifying Equipment Tables available on our website.
SUBTOTAL REBATE AMOUNT $
(add Sections 1 3)
Dishwasher Type
Sanitation Method
Building Water Heater Type
Booster Water Heater Type
Code
Rebate Per Unit
Undercounter
Low Temp
Electric N/A 1300
$300
Gas
N/A
2600
High Temp
Gas
Electric
1301
Electric Gas 1302
Electric
Electric
1303
Gas Gas 2601
Single Tank Door
Low Temp
Electric N/A 1304
$600
Gas N/A 2602
High Temp
Gas Electric 1305
Electric Gas 1306
Electric
Electric
1307
Gas Gas 2603
High & Low Temp
Gas Electric 1308
Electric
Gas
1309
Electric
Electric
1310
Gas Gas 2604
Dishwasher Type Sanitation Method
Building Water Heater Type
Booster Water Heater Type
Code
Rebate Per Unit
Single Tank
Conveyor
Low Temp
Electric N/A 1311
$800
Gas N/A 2605
High Temp
Gas
Electric
1312
Electric Gas 1313
Electric Electric 1314
Gas Gas 2606
High & Low Temp
Gas Electric 1315
Electric Gas 1316
Electric
Electric
1317
Gas
Gas
2607
Multiple Tank
Conveyor
Low Temp
Electric N/A 1318
$1,000
Gas N/A 2608
High Temp
Gas
Electric
1319
Electric Gas 1320
Electric Electric 1321
Gas
Gas 2609
High & Low Temp
Gas Electric 1322
Electric Gas 1323
Electric Electric 1324
Gas Gas 2610
4. REBATE INFORMATION ICE MAKERS
Must be ENERGY STAR
®
qualified*
Equipment Type: (ELECTRIC ONLY) N E W E Q U I P M E N T R E B A T E
Harvest Energy
Equipment Rebate Per Unit Total Rebate
Project Type Code Qty. Manufacturer Name* Model Number* Rate* Use Rate*
Cost
(
see Table below
)
(Qty X Rebate Per Unit)
(check one) (
see Table below
) (lbs/day) (kWh/100 lbs)
o New Installation
o Retrofit
$ $ $
o New Installation
o Retrofit
$ $ $
o New Installation
o Retrofit
$ $ $
5. REBATE INFORMATION INFRARED EQUIPMENT:
CHARBROILERS, FRYERS, ROTISSERIE OVENS, UPRIGHT BROILERS, SALAMANDER BROILERS
Equipment Type: (GAS ONLY) (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
Project Type Equipment Code Qty. Manufacturer Name* Model Number* Btuh Equipment Rebate Per Unit Total Rebate
(check one) Type (
see Table below
) per Unit Cost (
see Table below
)
(Qty X Rebate Per Unit)
o Charbroiler
o New Installation o Rotisserie Oven
$ $ $
o Retrofit
o Salamander Broile
o Upright Broiler
o Fryer
o Charbroiler
o New Installation o Rotisserie Oven
$ $ $
o Retrofit
o Salamander Broiler
o Upright Broiler
o Fryer
o Charbroiler
o New Installation o Rotisserie Oven
$ $ $
o Retrofit
o Salamander Broiler
o Upright Broiler
o Fryer
o Charbroiler
o New Installation o Rotisserie Oven
$ $ $
o Retrofit
o Salamander Broiler
o Upright Broiler
o Fryer
3
* Find qualifying ENERGY STAR products at www.energystar.gov.
**For non-ENERGY STAR products refer to the Qualifying Equipment Tables available on our website.
SUBTOTAL REBATE AMOUNT $
(add Sections 4 5)
Ice Harvest Rate Code ENERGY STAR
®
Rebate
< 101 lbs/day
1108 $75
101-200 lbs/day
1109
$100
201-300 lbs/day 1110 $125
301-400 lbs/day 1103 $150
ENERGY STAR
®
ICE MAKERS
REBATE TABLES:
Ice Harvest Rate Code ENERGY STAR
®
Rebate
401-500 lbs/day
1104
$150
501-1,000 lbs/day
1105
$175
1,001-1,500 lbs/day 1111 $200
> 1,500 lbs/day 1112 $225
Equipment
Code
Rebate Per Unit
Charbroiler 2801
$300
Rotisserie Oven 2802 $500
Salamander Broiler
2803
$150
Upright Broiler 2804 $600
Fryer 2805
$250
INFRARED EQUIPMENT
REBATE TABLES:
4
* Find qualifying ENERGY STAR products at www.energystar.gov.
**For non-ENERGY STAR products refer to the Qualifying Equipment Tables available on our website.
^Must be an Electric Water Heater to qualify for a rebate from RPU.
7. REBATE INFORMATION – LOW-FLOW PRE-RINSE SPRAY VALVES
– Must have a flow rate of 1.6 gpm or less – see qualifying equipment table located on our website**
Water Heater Type: ELECTRIC^ GAS (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
A B C D E F G H I J K
Project Type Code Qty. Manufacturer Name* Model Number* Test Flow Rate* Days of Operation Equipment Installation Rebate Per Unit Total Rebate
(check one) (
see below
) (gpm) Per Year Cost Cost (H + I) x .50 (C x J)
o New Installation
o Retrofit
$ $ $ $
o New Installation
o Retrofit
$ $ $ $
o New Installation
o Retrofit
$ $ $ $
Codes: Electric: 1200 • Gas: 1201
8. REBATE INFORMATION OVENS: COMBINATION (Must be ENERGY STAR
®
qualified*) AND CONVEYOR (Must be listed on the qualifying equipment table located on our website**)
Equipment Type: ELECTRIC GAS (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Manufacturer Name* Model Number* Efficiency* Food Cooked Run Hours Days of Equipment Rebate Total Rebate
(check one) (
see below
) (%) Per Day (lbs.) Per Day Operation/Year Cost Per Unit
(Qty X Rebate Per Unit)
o New Installation
o $900 (combination oven)
$
$
o Retrofit o $750 (conveyor oven)
o New Installation
o $900 (combination oven)
$
$
o Retrofit o $750 (conveyor oven)
o New Installation
o $900 (combination oven)
$
$
o Retrofit o $750 (conveyor oven)
Codes: COMBINATION OVENS: Electric: 100• Gas: 2000 | CONVEYOR OVENS: Gas: 2700
SUBTOTAL REBATE AMOUNT $
(add Sections 6 8)
6. REBATE INFORMATION INSULATED HOLDING CABINETS
Must be ENERGY STAR
®
qualified*
Equipment Type: (ELECTRIC ONLY) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Manufacturer Name* Model Number* Internal Energy Days of Operation Equipment Rebate Per Unit Total Rebate
(check one) (
see Table below
) Volume* (ft
3
) Usage* (watts) Per Year Cost (see Table below)
(Qty X Rebate Per Unit)
o New Installation
o Retrofit
$ $ $
o New Installation
o Retrofit
$ $ $
Internal Volume (ft
3
) Code Rebate Per Unit
< 10 500 $200
10 to 18 501
$250
> 18 502 $300
ENERGY STAR
®
INSULATED HOLDING CABINETS
REBATE TABLE:
10. REBATE INFORMATION OVENS: RACK
Must be listed on the qualifying equipment table located on our website**
Equipment Type:(GAS ONLY) (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Manufacturer Name* Model Number* Capacity* Efficiency* Food Cooked Run Hours Days of Equipment Rebate Total Rebate
(check one) (check one) (%) Per Day (lbs.) Per Day Operation/Year Cost Per Unit*
(Qty X Rebate Per Unit)
o New Installation
2200
o Single-Rack
o Retrofit o Double-Rack
$
$1,200
$
o New Installation
2200
o Single-Rack
o Retrofit o Double-Rack
$
$1,200
$
o New Installation
2200
o Single-Rack
o Retrofit o Double-Rack
$
$1,200
$
9. REBATE INFORMATION OVENS: CONVECTION
Must be ENERGY STAR
®
qualified*
Equipment Type: ELECTRIC GAS (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Manufacturer Name* Model Number* Serial Number Efficiency* Idle Rate Equipment Rebate Total Rebate
(check one) (
see below
) (%) (Btuh) Cost Per Unit*
(Qty X Rebate Per Unit)
o New Installation o $225 Electric
o Retrofit
$
o $500 Gas
$
o New Installation o $225 Electric
o Retrofit
$
o $500 Gas
$
o New Installation o $225 Electric
o Retrofit
$
o $500 Gas
$
Codes: CONVECTION OVENS: Electric: 200 Gas: 2100
11. REBATE INFORMATION PASTA COOKERS
Equipment Type:(GAS ONLY) (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Manufacturer Name* Model Number* Serial Number Btuh Equipment Rebate Total Rebate
(check one) Per Unit Cost Per Unit
(Qty X Rebate Per Unit)
o New Installation
2900
o Retrofit
$ $200 $
o New Installation
2900
o Retrofit
$ $200 $
o New Installation
2900
o Retrofit
$ $200 $
SUBTOTAL REBATE AMOUNT
$
(add Sections 9 11)
5
* Find qualifying ENERGY STAR products at www.energystar.gov.
**For non-ENERGY STAR products refer to the Qualifying Equipment Tables available on our website.
* Find qualifying ENERGY STAR products at www.energystar.gov.
**For non-ENERGY STAR products refer to the Qualifying Equipment Tables available on our website.
SUBTOTAL REBATE AMOUNT $
(add Sections 12 13)
6
12. REBATE INFORMATION REFRIGERATORS AND FREEZERS: GLASS AND MIXED DOOR
Must be ENERGY STAR
®
qualified*
Equipment Type: (ELECTRIC ONLY) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Type of Unit Manufacturer Name* Model Number* Total Internal Equipment Rebate Per Unit Total Rebate
(check one) (
see Table below
) (check one) Volume (ft
3
) Cost (
see Table below
)
(Qty X Rebate Per Unit)
o New Installation o Refrigerator
o Retrofit o Freezer $ $ $
o Refrigerator-Freezer
o New Installation o Refrigerator
o Retrofit o Freezer $ $ $
o Refrigerator-Freezer
o New Installation o Refrigerator
o Retrofit o Freezer $ $ $
o Refrigerator-Freezer
o New Installation o Refrigerator
o Retrofit o Freezer $ $ $
o Refrigerator-Freezer
13. REBATE INFORMATION REFRIGERATORS AND FREEZERS: SOLID DOOR
Must be ENERGY STAR
®
qualified*
Equipment Type: (ELECTRIC ONLY) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Type of Unit Manufacturer Name* Model Number* Total Internal Equipment Rebate Per Unit Total Rebate
(check one) (
see Table below
) (check one) Volume (ft
3
) Cost (
see Table below
)
(Qty X Rebate Per Unit)
o New Installation o Refrigerator
o Retrofit o Freezer $ $ $
o Refrigerator-Freezer
o New Installation o Refrigerator
o Retrofit o Freezer $ $ $
o Refrigerator-Freezer
o New Installation o Refrigerator
o Retrofit o Freezer $ $ $
o Refrigerator-Freezer
o New Installation o Refrigerator
o Retrofit o Freezer $ $ $
o Refrigerator-Freezer
Cabinet Type
Code Rebate Per Unit
Solid Door Freezer
701 $100
Solid Door Refrigerator
801
$125
Solid Door Refrigerator-Freezer 901 $125
ENERGY STAR
®
REFRIGERATORS AND FREEZERS:
SOLID DOOR REBATE TABLE:
Cabinet Type
Code Rebate Per Unit
Glass and Mixed Door
Refrigerator and/or Freezer
1002 $100
Glass and Mixed Door Freezer 1003 $100
Glass and Mixed Door
Refrigerator-Freezer
1004
$100
ENERGY STAR
®
REFRIGERATORS AND FREEZERS:
GLASS AND MIXED DOOR REBATE TABLE:
14. REBATE INFORMATION STEAM COOKERS
Must be ENERGY STAR
®
qualified*
Equipment Type: ELECTRIC GAS (For AU and OPU gas customers only.) N E W E Q U I P M E N T R E B A T E
Project Type Code Qty. Manufacturer Name* Model Number* Pan Efficiency* Annual Equipment Rebate Per Unit Total Rebate
(check one) (
see Table below
) Capacity* (%) Run Hours^ Cost (
see Table below
)
(Qty X Rebate Per Unit)
o New Installation
o Retrofit
$ $ $
o New Installation
o Retrofit
$ $ $
15. REBATE INFORMATION VENTILATION HOOD CONTROLLERS
Rebate requests for Ventilation Hood Controllers must include a copy of the savings analysis from the manufacturer or contractor.
* Find qualifying ENERGY STAR products at www.energystar.gov.
**For non-ENERGY STAR products refer to the Qualifying Equipment Tables available on our website.
^If installing more than one vent hood controller, enter the total horsepower (HP) of the respective motors.
^^Annual Run Hours = Run Hours Per Day X Days of Operation Per Year
SUBTOTAL REBATE AMOUNT
$
(add Sections 14 – 15)
TOTAL REBATE
AMOUNT $
(add all Sections)
7
N E W E Q U I P M E N T C O N T I N U E D . . . R E B A T E S
Annual Existing Heating Annual Existing
Cooling Equipment Efficiency Existing/Base Exhaust New Exhaust
Vent Hood Annual
Equipment Cost
ELECTRIC REBATE
GAS REBATE
Heating Load (kBTU) Efficiency (%) Cooling Load (kBTU)
RATING UNITS
Volume (CFM)
Volume (CFM)
Operating Hours^^
(see calculations below) (see calculations below)
o COP o EER $ $ $
Equipment Type: ELECTRIC ELECTRIC & GAS (For AU and OPU gas customers only.) N E W E Q U I P M E N T
Project Type Code* Qty. Manufacturer Name* Model Number*
Vent Hood Exhaust Make-up Is Make-Up Air Is Make-Up Air Unit Controlled
Fan Motor Size^ (HP) Air Unit Size** (HP) Cooled? with New Hood Control System?
o New Installation o Yes o No o Yes o No
o Retrofit (check one) (check one)
ELECTRIC REBATE CALCULATION:
Is Make-Up Air Unit Controlled with New Hood Control System?
IF YES: $165 x (Vent Hood Exhaust Fan Motor HP_________ + Make-up Air Unit HP_________) = ________________ Rebate
IF NO: $165 x Vent Hood Exhaust Fan Motor HP_________ = ________________ Rebate
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Pan Capacity Electric Codes Electric Rebate Per Unit
Gas Codes
Gas Rebate Per Unit
3
600 $400 2400 $500
4 601 $450
2401 $525
5 602 $500
2402 $550
6 and larger 603 $550
2403 $575
ENERGY STAR
®
STEAM COOKERS REBATE TABLE:
N E W E Q U I P M E N T C O N T I N U E D . . . R E B A T E S
Annual Existing Heating Annual Existing
Cooling Equipment Efficiency Existing/Base Exhaust New Exhaust
Vent Hood Annual
Equipment Cost
ELECTRIC REBATE
GAS REBATE
Heating Load (kBTU) Efficiency (%) Cooling Load (kBTU)
RATING UNITS
Volume (CFM)
Volume (CFM)
Operating Hours^^
(see calculations below) (see calculations below)
o COP o EER $ $ $
Equipment Type: ELECTRIC ELECTRIC & GAS (For AU and OPU gas customers only.) N E W E Q U I P M E N T
Project Type Code* Qty. Manufacturer Name* Model Number*
Vent Hood Exhaust Make-up Is Make-Up Air Is Make-Up Air Unit Controlled
Fan Motor Size^ (HP) Air Unit Size** (HP) Cooled? with New Hood Control System?
o New Installation o Yes o No o Yes o No
o Retrofit (check one) (check one)
SECTION D. TERMS AND CONDITIONS
1. ELIGIBILITY
Electric Rebates are available to customers of Austin Utilities, Owatonna Public Utilities, and Rochester Public Utilities. Gas Rebates
are
available to customers of Austin Utilities and Owatonna Public Utilities (herein referred to as The Utility). All products must be in use
in facilities
in The Utility service territory.
2. APPLICATION
Program is offered January 1 through December 31 of the respective calendar year. Due to limited funding, this rebate offer
can be
changed or withdrawn at any time without notice and is available on a first-come, first-serve basis. The entire rebate
a
pplication
m
ust be read and filled out completely or application will be returned.
3. INSPECTION AND VERIFICATION
The Utility reserves the right to inspect the customer’s facility through on-site visits before and after new equipment installation to
verify rebate eligibility. The Utility reminds you to follow all local permitting and building code ordinances.
4. INSTALLATION AND REBATE AMOUNTS
Qualifying energy-efficient equipment installed and operational within six (6) months of the date of purchase are eligible for rebate.
Additional time may be granted subject to the Utility’s pre-approval. In no case will the rebate paid by The Utility exceed the purchase
price of the equipment. The maximum rebate amount is $100,000 per customer location per technology per year.
5. INVOICE AND PAYMENT
Following inspection and verification (see #3) and completed installation, the customer must notify The Utility and submit original
invoices
specifying the quantity and price of all materials purchased, the date ordered, installation costs, and applicable taxes.
Additionally, if the new equipment is not listed on the Qualifying Equipment Tables but meets the efficiency requirements for that
equipment, sufficient data must be provided to prove that it qualifies. After satisfactory review of the application and invoices, a
rebate check or bill credit will be issued to the customer. Vendors or contractors are not eligible to receive their customer’s rebate.
Please allow 6-10 weeks from the date of application submission for delivery of rebate check or bill credit. The Utility reserves the
right to apply the rebate to past due accounts.
6. EQUIPMENT ELIGIBILITY REQUIREMENTS
All equipment must be new. Used or rebuilt equipment is not eligible for a rebate. Eligible high-efficiency commercial food service
equipment
must meet or exceed the Utility’s minimum efficiency requirements shown in the Qualifying Equipment Tables.
Rebate
requests for Ventilation Hood Controllers must include a copy of the savings analysis from the manufacturer or con-
tractor
.
7. TAX INFORMATION
The Utility will not be responsible for any tax liability imposed as a result of the rebate payment(s). Customers are advised to consult
their tax advisors for details.
8. DISCLAIMER
The Utility does not guarantee that the implementation of energy-efficient measures or use of the equipment purchased or installed
pursuant to this program will result in energy or cost savings. The Utility makes no warranties, expressed or implied, with respect
to any equipment purchased or installed including, but not limited to, any warrant of merchantability or fitness for purpose. In no
event shall The Utility be liable for any incidental or consequential damages. Customers are solely responsible for the proper
disposal of existing equipment. Consult the Minnesota Pollution Control Agency (MPCA) office for details at 800.657.3864.
9. ENDORSEMENT
The Utility does not endorse any particular vendor, manufacturer, product, or system in promoting this rebate program. Listing a
vendor or product does not constitute an endorsement, nor does it imply that unlisted vendors or products are deficient or defective
in any way.
10. PRIVACY
Information contained in this rebate application may be shared with the Minnesota Department of Commerce and our co-op partners
and also may be used in our advertising efforts with your permission as granted in Section B of this rebate application.
RETURN COMPLETED APPLICATION AND REQUIRED DOCUMENTATION TO YOUR UTILITY PROVIDER:
Austin Utilities Owatonna Public Utilities Rochester Public Utilities
Attn: Rebate Processing Attn: Rebate Processing Attn: Rebate Processing
1908 14th St NE PO Box 800 4000 E River Rd NE
Austin, MN 55912-4904 Owatonna, MN 55060 Rochester, MN 55906-2813
507.433.8886 507.451.2480 507.280.1500
www.austinutilities.com www.owatonnautilities.com www.rpu.org
PLEASE PRINT ON RECYCLED PAPER 0120fillable