AC Rebate

Note: This rebate request can only be submitted by the contractor completing installation of the equipment.
Are you a contractor?
Are you a qualified installer?
Member information
Name on account

First NameLast Name
Connexus account number
Phone number
Format: 000-000-0000.
Email address
Installation address

Street Address

Street Address Line 2

CityState

Zip Code
Contractor information
Company
HVACREDU/NATE ID
Primary rebate contact name

First NameLast Name
Installation technician name

First NameLast Name
Company address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Primary rebate contact email address
example@example.com
Equipment information
SEER2 rating
EER2 rating
Tons
Compressor type
AHRI certificate number
Date of installation

MonthDayYear
Date
Manufacturer
Model number
Serial number
Condenser model number
Condenser serial number
Evaporator coil model number
Evaporator coil serial number
Previous AC equipment information
SEER rating
EER rating
Attach all itemized invoices/receipts, specification sheets and AHRI Certificate associated with the purchase/installation of the project.

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Member or contractor hereby certifies that 1) the member or contractor is solely responsible for the accuracy of the application information; 2) all installation is complete and operational prior to submitting this application; 3) acknowledges that nothing contained in the application shall impose any liability on Connexus Energy for any work performed or information presented by the member’s engineer, contractor, or vendor; and 4) Connexus reserves the right to verify performed work.
Signature
Please verify that you are human
Should be Empty:

Member information

Contractor information

Equipment information

Previous AC equipment information