2009 Watt Savers

Rebate Form
Effective Jan. 1, 2009 through Dec. 31, 2009

Customer Information (will also be used for customer’s rebate check):

NOTE: A copy of paid receipt must accompany this rebate form. Rebates must be submitted within thirty (30) days of the installation date
to be processed. Installations older than thirty (30) days will not be eligible.
Customer Name: _______________________________________ REMC Acct. #: _____________________
Address: _______________________________________________________________________________
Street City Zip

Home Tel.: __________________________________ Email: _____________________________________

Select rebate options: Mail check Apply to bill REBATE Total: ___________________
(Office Use ONLY)

Heating & Cooling Information:

Select system installed: Heat Pump Air Conditioner
Outdoor Indoor ARI ARI SEER Cooling
Manufacturer: Coil #: Coil #: Reference #: Rating: Tons:

Geothermal Unit
ARI ARI EER Cooling
Manufacturer: Unit Model #: Reference #: Rating #: Tons:

NOTE: The above model numbers should be written as they are found in the ARI directory at www.aridirectory.org. See dealer for this
information. The ARI rated SEER on heat pumps and air conditioners will be the SEER used to determine rebates. Please check that your
choice of equipment is an ARI certified match.

Heating & Cooling Installer/Builder Information:

Installer Name: ____________________________________ Phone: _________________________________
Install Date: __________________________ Builder Name: _______________________________________

Electric Water Heater Information:

Water heaters must have a .90 EF (energy factor) rating or better. See manufacturers label on the unit or ask dealer.
Size/Gallons: ________ KW: ________ EF (Energy Factor) Rating: ________ Install Date: _______________
Purchased from: __________________________________ Installer: _______________________________

I certify that this equipment has been installed and meets all requirements of Henry County REMC.
Members Signature: ______________________________________________ Date: ____________________
How did you hear about this program? ___________________________ REMC Employee: ______________

Fax to: Lara Sullivan (765) 529-1667 or mail to: Henry County REMC, P.O. Box D, New Castle, IN 47362.
Questions can be directed to Lara Sullivan at (765) 529-1212 or hcremc@henrycountyremc.com.
 2009 Henry County REMC
Watt Savers Rebate Program

Important: Unit claims must be submitted within 30 days of unit placement date to be eligible
for payment. Member must supply REMC with all information specified on rebate form in order
to receive rebate. Heating and cooling systems must meet SEER ratings listed below. SEER
ratings will not be rounded to a higher equivalent. All rebates are effective Jan. 1 through
Dec. 31, 2009.

Unit Type: Unit Size: Rebate Value:

Electric Water Heater 40/50 Gal. High Efficiency $50
(Water Heater must have a .90 EF (Energy Factor) rating 80 Gal. High Efficiency $150
or better to be eligible)
Central Air 14 SEER Unit $200
(For members purchasing new or having an existing home 15 SEER Unit $200
with central conditioners in need of replacement)
16 SEER Unit $250
17 SEER Unit $300
Air Source Heat Pump – Electric/Electric or 14 SEER Heat Pump $300
Dual Fuel (Electric with Fossil Fuel Backup) 15 SEER Heat Pump $300
(For members purchasing new or replacing an air source
heat pump) 16 SEER Heat Pump $350
17 SEER Heat Pump $400
Air Source Heat Pump Replacing a Standard 14 SEER Heat Pump $800
Electric Furnace, Baseboard or Ceiling Cable 15 SEER Heat Pump $800
(For members with an existing home or mobile home)
16 SEER Heat Pump $900
17 SEER Heat Pump $1,000
Geothermal Heat Pump $1,000
(For members purchasing new or replacing a geothermal
heat pump)

Fax Watt Savers Rebate Form to: Lara Sullivan (765) 529-1667 or mail to: Henry County REMC,
P.O. Box D, New Castle, IN 47362. Questions can be directed to Lara Sullivan at (765) 529-1212 or
hcremc@henrycountyremc.com.