Mail-in Rebate

Required Information:

1. What was the main reason you purchased an ENERGY STAR®

qualified clothes washer? Check all that apply.

Energy savings Larger capacity

Gentler on clothes Cleaner clothes
Rebate
Less detergent required
Quieter
Like to buy the best
SAVE MORE
Takes up less space Other with ENERGY STAR®
Water savings

2. Did you notice the Save More with ENERGY STAR rebate label
before you decided to purchase this model clothes washer? Buy and Save
Yes
No

3. Did you consider buying any other ENERGY STAR qualified mail-in rebate from LIPA
clothes washer that did not have the rebate label? de reembolso por correo
Yes Save More with
No ENERGY STAR®
4. Did the LIPA Save More with ENERGY STAR rebate help you
to decide to buy this model clothes washer?
www.lipower.org/efficiency
Yes
No Select models only. See inside for details.

5. How did you hear about ENERGY STAR qualified clothes

washers? Check all that apply.

Newspaper ad Web site

Magazine ad Retailer/Salesperson
Insert in your utility bill News report/article
Friend/relative/co-worker Other
TV ad

Congratulations on your decision to buy an ENERGY STAR qualified clothes

washer. It’s good for you, your family, and the environment. Thank you!

Valid for purchases made January 1, 2008 through December 31, 2008.
All rebate requests must be postmarked no later than January 31, 2009.
Limit: One clothes washer rebate per residential electric LIPA customer.
Qualifying clothes washer must be installed within the service area of LIPA.
This rebate offer is available to residential customers of LIPA and may be An energy efficiency program brought to you by:
subject to change without prior notice. This rebate may not be combined with
any other utility offer. LIPA reserves the right to conduct field inspections to
verify installations. Limitation of liability: LIPA does not guarantee the
performance of installed equipment expressly or implicitly. www.lipower.org/efficiency
ENERGY STAR® qualified clothes washers save energy,
save money, and help protect the environment.
Join the national effort to help use energy wisely.
Buy appliances that have earned the ENERGY STAR.
Only products delivering the highest level of energy
efficiency are awarded the ENERGY STAR from the
U.S. Environmental Protection Agency (EPA) and the
U.S. Department of Energy.
This year LIPA has teamed up with the EPA to promote
the most efficient ENERGY STAR qualified clothes
washers on the market. For a limited time only, LIPA
customers are eligible for $50 back on the purchase of
eligible ENERGY STAR qualified clothes washers with a
Modified Energy Factor (MEF) of 2.20 or higher and a
Water Factor (WF) of 4.5 or less. These clothes washers
are at least 75% more efficient than conventional models
and are backed by the ENERGY STAR label.
Average New Conventional Standard ENERGY LIPA Rebate
Consumption Clothes Washer STAR Model Model
kWh/year 398 210
Gallons water/year 13,494 6,039
Yearly cost to
operate $141.52 $69.81 $56.59
Lifetime cost to
operate $1,415.17 $698.06 $565.86
*Costs based on the LIPA rate of .203/kWh and a national average water rate of .0045
per gallon at 7.5 loads per week.
By purchasing an ENERGY STAR qualified clothes washer
with this rebate instead of a conventional model, you can:
Save on average $85 in energy and water costs
each year – that’s $850 over the life of the washer!
Save on average 8,453 gallons of water per year –
that’s 84,530 gallons over the life of the washer!
Just look for the ENERGY STAR.
Only products delivering the highest level
of energy efficiency can earn the ENERGY
STAR. Look for it at participating retailers.
For a complete list of dealers call 1-877-654-5472 or
visit www.lipower.org/efficiency
The $50 Mail-in Rebate
Get $50 back from LIPA on your purchase of an eligible ENERGY STAR
qualified clothes washer. This rebate is good for purchases made January 1,
2008 through December 31, 2008. To receive your rebate, please fill out this
form completely and mail it to the address below. Please include a copy of your
dated sales receipt and/or invoice showing the manufacturer, model number,
and price of the ENERGY STAR qualified clothes washer purchased, and a copy
of your recent electric bill. Incomplete information will delay or disqualify your
rebate. All rebate requests must be postmarked no later than January 31, 2009.
Mail to: LIPA Clothes Washer Rebate
25 Hub Drive, Melville, NY 11747
(Please DO NOT include rebate coupon with utility bill payment.)
Please fill out completely. All information below is required.
Your LIPA Account Number: ______________________________________
Your Name: ____________________________________________________
Account/Installation Address: _____________________________________
_______________________________________________________________
City: __________________________ State: ______ Zip: ________________
Home Tel: _____________________ Work Tel: _______________________
167
Mailing Address (if different): _____________________________________
5,041
_______________________________________________________________
City: __________________________ State: ______ Zip: ________________
Yes, I wish to receive email about energy-related products and services.
Email Address: ______________________________________________
Do you want your rebate as (check one):
Credit to your electric account Separate check mailed to you
LIPA reserves the right to apply the customer rebate to a delinquent account.
I have the following appliance(s) in my home:
APPLIANCE: APPLIANCE TYPE:
Water Heater Electric Natural Gas Oil Other
Clothes Washer Electric Natural Gas Other
House type (check all that apply):
Single Family Condo/Townhouse Multi-family
Own Rent # of units ________
Primary Residence Vacation Home
Mfr. and Model #: _______________________________________________
Name and address of store: _______________________________________
_______________________________________________________________
Purchase Price: $________________ Purchase Date: _________________