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Type of Retailer (select one)
Serial Number
2020 Date of installation
Serial Number
Complete model #Brand
New ENERGY STAR natural gas clothes dryer [017]
Complete model #Brand
New ENERGY STAR clothes washer [026]
EQUIPMENT INFORMATION (Only complete the information for the new equipment that was purchased - please print)
Purchaser Email address Alt phonePhone
2020 Purchase date
RETAILER AND INSTALLER INFORMATION (Complete the entire section - please print)
Retailer name
OnlineStore Store Location (city and state)
Purchaser signature DateIt is the responsibility of the purchaser to ensure that the program requirements are met. If program requirements are not met, no rebate will be paid.
Return completed form with required signature and a detailed copy of the retailer receipt/invoice to:
CenterPoint Energy Laundry Rebate P.O. Box 59038 Minneapolis, MN 55459-0038
Installer phoneInstaller name (if different from purchaser name)
RenterBuilder AgencyLandlordOwnerPurchaser Type (select one)
Rebate check mailing address, city, state and ZIP (if different from installation address)
PURCHASER INFORMATION (Equipment purchaser and rebate check recipient - please print)
Rebate check payable to:
Replacement (existing home) New constructionType of Installation (select one)
Type of Building (select one) Single-family home Townhome Two-plex to four-plex
White - CenterPoint Energy Yellow - Customer/Purchaser CNP 1356 (1-2020)
Installation address, city, state and ZIP
RESIDENTIAL ENERGY STAR LAUNDRY REBATE RETAIL MINNESOTA
INSTALLATION INFORMATION (CenterPoint Energy service and equipment installation address - please print)
CenterPoint Energy Gas Account Number for the address where the new laundry equipment was installed
Program dates: Jan. 1, 2020 through Dec. 31, 2020
1) Review the Terms & Conditions on the back of this form to ensure all program requirements are met. 2) The new equipment must be listed on the current ENERGY STAR® website. See website: energystar.gov/products 3) Complete the entire application, including signature or submit it online at CenterPointEnergy.com/LaundryRebate 4) Attach a copy of the retailer receipt/sales invoice. 5) Application must be submitted in the same calendar year that the equipment was purchased.
RESIDENTIAL LAUNDRY REBATE TERMS & CONDITIONS The qualifying equipment must be installed in a Minnesota home served with natural gas from CenterPoint Energy between January 1 and December 31, 2020. All completed applications must be postmarked by December 31, 2020 to be considered for a rebate. Equipment installed under warranty replacement does not qualify for the rebate.
CenterPoint Energy reserves the right to inspect the installed equipment.
Rebate applies to new equipment only. Refurbished models are not eligible for this rebate.
Equipment must be listed on the current ENERGY STAR website. See website: energystar.gov/products
NEW CONSTRUCTION INSTALLATIONS For New Construction installations, the building contractor should negotiate with homeowners to determine who receives the rebate. If you are building a new home, you must obtain an invoice from your builder or the retailer/dealer.
ONLINE REBATE SUBMISSION Customer will receive their rebate faster than a paper form if the purchaser submits the rebate application and electronic dated sales invoice online. Access the online form at CenterPointEnergy.com/LaundryRebate.
MAIL-IN REBATE OPTION A rebate application will need to be completed if the purchaser doesn't submit an application online. The purchaser is required to sign the rebate application.
CENTERPOINT ENERGY GAS ACCOUNT NUMBER Customers can obtain their gas account number from their monthly bill statement, or online at CenterPointEnergy.com/MyAccount.
PROOF OF PURCHASE AND INSTALLATION A copy of the dated retailer receipt/invoice must list the qualifying clothes washer and/or natural gas clothes dryer as a purchased item and correspond with the equipment listed on the application. The receipt must describe the laundry equipment that was purchased. It cannot be a packing list, recall or generic receipt. CenterPoint Energy is unable to accept applications that do not include all the requested information.
PROCESSING Completed rebate forms will be processed in the order in which they are received and are paid on a first-come, first served basis. Account number must be activated for installation address in order for rebate to be processed. CenterPoint Energy is not responsible if the retailer does not provide accurate information about the amount of a rebate or equipment eligibility. Rebate qualifications and amounts are subject to change. CenterPoint Energy Conservation Improvement Program (CIP) rebate programs may be cancelled or changed at any time. CenterPoint Energy issues a cash rebate not utility bill credits. Please allow 8 weeks to receive payment in the mail from the time that CenterPoint Energy receives your completed paperwork. If you haven't received payment after 8 weeks, please call 612-399-1545 or email [email protected]. Checks are issued from our Houston, TX office and expire in 90 days from the date that the check was issued.
APPLICATION CHECKLIST SEND COMPLETED APPLICATION TO: □ All fields on form are filled in Residential Laundry Rebate □ Purchaser signature CenterPoint Energy □ Dated receipt/sales invoice from retailer PO Box 59038 Minneapolis, MN 55459-0038
ENERGY STAR clothes washerENERGY STAR natural gas clothes dryer
Type of laundry product
$25
Rebate
$75
