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Appliance Rebate Form - …

PECO Energy Company 2018 | PAGE 1 Customer Information (where qualified equipment is installed) Account number (10 digits) Name on account Address (where qualified equipment was installed) City, State, Zip Daytime Phone Email (optional) I want to receive promotional material and information regarding PECO Home Rebates programs How did you hear about PECO Home Rebates? Contractor PECO Website Radio Bill insert/newsletter Retailer Word of mouth TV Letter to my home Social Media Other Website Email Property Type: Single Family MultifamilyIs payee different from name on account? Yes NoIf yes, provide alternate payee information below: Payee is: Homeowner Landlord TenantPayee Name Payee address City, State, ZipCustomer eligibility 9 Currently receive residential electric service from PECO 9 PECO customers who have chosen an alternative electric energy supplier can qualify for PECO Home Rebate FormInstructions 9 Rebate form must be received within 90 days of purchase.

I, certify that I am the PECO customer, or I am authorized by the PECO customer to submit

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