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?

• PECO is not responsible for items lost or damaged in the mail. • If your rebate form is selected for verification, customer agrees to allow PECO or its agent access to the installation site to verify the

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  Form, Appliances, Rebates, Rebate form, Appliance rebate form

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