ENERGY STAR® APPLIANCE - ComEd - An Exelon Company

1 DON T FORGET TO APPLY! ENERGY STAR APPLIANCEREBATE APPLICATIONA ppliance must be purchased by December 31, 2022. Application must be submitted within 60 days of purchase or by February 28, 2023, whichever comes to apply TO APPLY1234 VERIFY ELIGIBILITY You must be a current ComEd residential delivery service customer. APPLIANCE must be ENERGY STAR certified and meet the Rebate Eligibility Requirements on page APPLICATION Check your application to ensure it is correct, legible, complete and signed before submitting. If you are applying for multiple rebates, submit an additional copy of page 2 for each APPLICATION Include a legible copy of the entire sales receipt, which includes product information for each APPLIANCE purchased, purchase price, purchase date and retailer business information.

2 Make a copy of the application and receipt for your REBATE PAYMENT After your rebate application is reviewed and approved, you will receive a rebate check in approximately four CALL 855-530-5783 ACCOUNT HOLDER INFORMATION (PLEASE PRINT) ComEd Account Number (must be 10 digits):Account Holder First Name: Account Holder Last Name: Installation Address: City: State: Zip Code: Telephone (include area code): Email: I want to receive emails from ComEd about other ways to save ENERGY . I understand that I can unsubscribe to these messages at any time and that my email address will never be PAYMENT AUTHORIZATIONMake check payable to (check ONE): Account Holder LandlordMailing Address: City:State: Zip Code: (IF LANDLORD) Landlord Name: Telephone (include area code):Email: CUSTOMER AUTHORIZATION (REQUIRED IF REBATE CHECK IS MADE PAYABLE TO THE LANDLORD NOTED ABOVE)I am authorizing the payment of the rebate to the third party named above and I understand that I will not receive the rebate payment from ComEd .

3 I also understand that my release of the payment to a third party does not exempt me from the rebate eligibility requirements outlined in this application and agree to abide by these Customer Signature: Print Name: Date: CONTINUE ON PAGE 2 ENERGY STAR APPLIANCEREBATE APPLICATIONENERGY STAR CERTIFIED APPLIANCE (CHECK ONE PER APPLICATION) ENERGY STAR Air Purifier $50 ENERGY STAR Clothes Washer $40 ENERGY STAR Dehumidifier $45 (standalone unit only) ENERGY STAR Electric Clothes Dryer $40 (> cubic feet) (gas dryers do not qualify) ENERGY STAR Refrigerator $50 (> cubic feet) (convertible freezer/refrigerator units do not qualify) ENERGY STAR Ventilation Fan $25 ENERGY STAR Water Dispenser $25 (hot/cold combination)Make:Model Number.

4 Purchase Price (Excluding taxes, shipping and installation charges)Purchase Date (MM/DD/YYYY)Retailer Name:Retailer City:Retailer State:Retailer Zip Code:CUSTOMER SIGNATURE (REQUIRED)I certify that the information provided in this application is true and correct. I have read and understand the rebate eligibility requirements set forth in this application and agree to abide by these requirements. I also agree that by receiving a rebate, I may be contacted by an evaluator to complete a customer survey. SIGN HERE ComEd Customer Signature: Print Name:Date:Submit the mandatory materials to receive your rebate: Completed rebate application with signature Legible copy of the entire sales receiptSubmit this application by ONE of the following methods:Mail: ComEd Rebates980 Beaver Creek DriveMartinsville, VA 24112 ELIGIBILITY REQUIREMENTS1.

5 You must be a current ComEd residential delivery service APPLIANCE must be purchased by December 31, 2022. 3. Application must be submitted within 60 days from purchase date or by February 28, 2023, whichever comes Each ComEd residential service customer is limited to six air purifiers, dehumidifiers, ventilation fans and water APPLIANCE must be ENERGY STAR certified and meet the above stated requirements to qualify for a ENERGY STAR certified appliances must be new and purchased in Illinois, or the buyer must demonstrate having paid the applicable Illinois sales and use The rebate paid will not exceed the purchase price (excluding taxes.)

6 Shipping and installation charges) of the Rebate eligibility requirements are subject to change without notice, including early termination of this promotion. Commonwealth Edison Company , 2022 The ComEd ENERGY Efficiency Program is funded in compliance with state