Name(Required) First Last Account #(Required)Phone(Required)Type of Phone(Required) Cellphone Home Email(Required) Mailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Equipment InformationEquipment(Required) Trimmer Leaf blower Chain saw Push lawnmower (minimum of 36 volts) Rototiller Snow blower Pressure waser Riding mower Zero-turn mower Robotic lawn mower Brand(Required)Model #(Required)Purchased from where?(Required)Purchase Price(Required)Date of Purchase(Required) MM slash DD slash YYYY Upload a copy of your receipt or invoice(Required)Max. file size: 500 MB. How did you hear about the incentive?(Required) Newsletter Social media Bartholomew County REMC website WhyElectrify website Word of mouth Other Terms and Conditions Confirmation(Required) I understand and agree to the programs rules and conditions.Eligibility Requirement: • Must be a current Bartholomew County REMC residential member-consumer. • Equipment purchases must be used for a home served by Bartholomew County REMC. • Applicant must occupy the home where the equipment is utilized year-round (12 months). • Program eligibility includes prior participation in rebate programs with incentive and measure caps specific for each program. Applications in excess of program caps will not be processed. Residential Electric Outdoor Equipment Rebate Program Requirements: • The electric outdoor equipment rebate is designed for purchases of electric outdoor equipment: trimmers, leaf blowers, chain saws, snow blowers, rototillers, pressure washers, push mowers with a minimum of 36 volts, and riding electric-powered mowers. • All applicants must provide a receipt/invoice noting description of equipment, quantity and a breakout of costs. • Submission for electric outdoor equipment rebate must include application and itemized receipt or invoice. Applicant understands no rebate will be given if applicant fails to provide required documentation. • Limit of two rebates per year. • Outdoor power combo kits are treated as a single purchase and eligible for one rebate. Program Parameters: • All rebated equipment must be new. Used or rebuilt equipment is not eligible for an incentive. • Rebated equipment must meet all requirements from the manufacturer’s warranty. • Rebated equipment must meet the technical specifications listed in the application form. • Applicant agrees to purchase power from Bartholomew County REMC for a period of one year. Should the applicant receive 100% of their power from any source other than Bartholomew County REMC, including generation owned by the customer before the end of one year, the applicant agrees to refund the full amount of the rebate to Bartholomew County REMC. • Hoosier Energy maintains full discretion over the rebate and reserves the right to modify the program at any time. Application Procedures and Deadlines: • Applications are processed on a first-come, first-served basis while funds are available. • Submission for rebates must be within 90 days of purchase in the same calendar year. • Applications become the property of Bartholomew County REMC and will not be returned. Please keep a copy for your records. Incentive Payments: • Bartholomew County REMC reserves the right to approve or deny incentive. • The incentive payment cannot exceed 50% of the total service cost up to $50 as noted on application. Taxes, fees, and labor cannot be included in the equipment cost. • Rebates may take up to six weeks from receipt of the application by Bartholomew County REMC to process. • Approved rebates will be returned to the applicant in the form of a bill credit or check by mail, via the U.S. Postal Service. • Application approval is not a guarantee of incentive payment. • Bartholomew County REMC reserves the right to withhold payment for services that do not meet the program requirements as determined within its sole discretion. • Incentives are paid as a one-time, one-program offer and cannot be combined with incentive payments, rebates or discount programs from other utility providers. Logo Usage: • Program applicants and program participants may not use any member cooperative or Hoosier Energy logo or name without prior express written permission. Program Disclaimers: • Your electric cooperative and Hoosier Energy REC, Inc. • Does not endorse any particular contractor, manufacturer, product or system design by offering these incentives; • Will not be responsible for any tax liability imposed on any program participant as a result of the payment of incentives; • Does not expressly or impliedly warrant the performance of any purchased equipment or service and hereby disclaim any and all warranties, express or implied, including the warranties of merchantability or fitness for a particular purpose. • Is not responsible for the handling, storage, treatment, transportation or disposal of any waste generated as a result of any measures for which incentives have been applied for and/or received under this program nor any resultant environmental contamination related to the same; • Is not liable for any damage caused by the operation or malfunction of the installed equipment or service by contractor; and • Does not guarantee that a specific level of energy or cost savings will result from the implementation of energy conservation measures or the use of products funded under this program.Electronic Signature Consent(Required) I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Applicant Electronic Signature (Full Name)(Required)
