Energy Star Rated Dish Washer Rebate Form

SMPA rebates are managed by EcoAction Partners

SMPA Member Name

Name on bill

First Name

Last Name

Account Number

New Construction?

Yes

Rebate To Be Paid To Contractor?

Yes

Contractor Name

Service Address

Physical street address

City/Town

Zip Code

Best contact if any issues processing

Phone Number

Best contact if any issues processing

Mailing Address

Where you would like your rebate check mailed (if different from service address)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dish Washer Details

Manufacturer

Model Number

MUST be Energy Star rated

YES - Energy Star rated

NO - Not Energy Star

upload itemized receipts here

Upload itemized receipts, then click 'SUBMIT'

You have the option to donate your rebate to a worthwhile energy related program. By checking a box you agree to donate your whole rebate amount to the organization identified. If you decline this option simply do not mark a box below and a check will be mailed directly to you.

Local - The SMPA Green Fund is used to develop local clean energy and efficiency projects

National - Grid Alternatives is an SMPA partner focused on bringing renewable energy to low-income communities.

Global - We Care Solar provides solar energy systems to health facilities in areas without reliable electricity to power medical lighting, communication, and essential medical services.

Only current San Miguel Power Association members qualify for rebates. Please allow 90 days for complete rebate processing. An application submission does not guarantee a rebate. EcoAction Partners and San Miguel Power Association reserve the right to inspect and verify appliance installation to process any rebates. A list of qualifying Energy Star appliances can be found on the Energy Star website, www.energystar.gov. An itemized receipt must be included verifying purchase within 90 days. Application must be complete and a receipt verifying purchase must be included. All applications must be submitted by December 15 to be eligible for posted incentive amount. Incomplete applications may be denied.

Email: rebates@smpa.com

EcoAction Partners Office: 970 728 1340

Mail physical rebate applications to:
EcoAction Partners
Attn: SMPA Rebates
PO Box 1625
Telluride, CO 81435