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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.

this application, and that the information and dated, paid receipt provided are true and correct, that the product was installed in the service

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