Upload Receipts

Congratulations on making the switch to natural gas. To receive your appliance rebate, please complete the form below and upload a copy of your installation receipt or invoice. Once submitted, our team will review your information and contact you if any further information is needed.

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THIS IS THE UPLOAD RECEIPT FORM On web server 1

*First Name: Required!

*Last Name: Required!

*Email Address: Required! Valid Email Required

*Phone: Required! Invalid phone number format.

*Street Address: Required!

*City: Required!

*State: Required!

*ZIP Code: Required!

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I certify the information provided is accurate and complete. Required!

I understand rebate eligibility is subject to verification. Required!

I understand submitting this application does not guarantee rebate approval. Required!