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* Residential ENERGY STAR® Refrigerator/Freezer Rebate* Residential ENERGY STAR® Dishwasher Rebate
Check out the Rules & Requirements section to make sure you qualify for this rebate before filling out the form.
Submitting this document electronically will require you to upload documentation such as sales receipt, etc. Please do not send sensitive information.
Customers must apply for rebates within twelve (12) months of the purchase date shown on the sales receipt.
You must have an address that is serviced by Anoka Municipal Utility (AMU).
Rebate amount will be credited to your AMU billing account. No need for a mailing address. This must be the location of installation for the rebate.
Receipt(s) submitted must include Retailer Information and Purchase date along with product information for proof of purchase.
Take a picture from your phone, a screen shot, or scanned copy of original receipt.
Limit one of each type per account per calendar year.
Estimate if unsure.
Refrigerators/Freezers may receive an additional $50.00 rebate for a Recycled Appliance. Notice: AMU reserves the right to verify recycling drop-offs and pick-ups from the reported address indicated on this form.
Hauler or Retailer Name that appliance was picked up on behalf of, or dropped off at.
By checking this box, I certify this appliance has or will be turned over to a licensed recycler and removed from the grid (not resold or reused). To the best of my knowledge the appliance will be fully decommissioned including refrigeration and mercury components and refrigerants and CFC’s recycled following federal, state and local laws. I attest the following information is accurate and true and that this appliance was or will be turned in by the date above, and verified by the applicant listed on this rebate form.
This field is not part of the form submission.
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