Invoice # | Recipient Name | Customer / Recipient Email | Mailing Address | Installation Address | Company Name | Company Phone | Company Email | Application Age | Rebate Status | Rebate Expiration | Safety Inspection Date | Purchase/Invoice Date | Type of Installation | Were you affected by hurricane Helene? | What county do you live in? | How many rebates would you like to claim? | Installation Type | Rebate #1 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #2 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #3 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #4 | Appliance Type | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #5 | Appliance Type | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Total | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Address | Customer / Recipient Installation Address | Required Materials | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |
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2024-18877693 | John Martin | Email hidden; Javascript is required. | 1513 Ghio Road Hamlet, North Carolina 28345 Map It | 1513 Ghio Road Hamlet, North Carolina 28345 Map It | Quality Oil and Gas Company of Laurinburg | (910) 276-6045 | Email hidden; Javascript is required. | 26 | Payment Sent | 09/13/2024 | 09/10/2024 | Replacement or New Appliance | 1 | Replacement Installation | trane | 4YCC4048E1070AA | 23414069FA | 09/13/2024 | $0.00 | John Martin | (910) 280-4513 | Email hidden; Javascript is required. | 1513 Ghio Road Hamlet, North Carolina 28345 Map It | 12501 Ponderosa Circle Laurinburg, North Carolina 28352 Map It | The following materials are required to complete your application:
| JMartin-20241.pdf | ||||||||||||||||||||||||||||||||||||||||||||||
2024-14517812 | CALVIN TURNER | Email hidden; Javascript is required. | 4603 WINDING STONE CIRCLE OLNEY, Maryland 20832 Map It | 4603 WINDING STONE CIRCLE OLNEY, Maryland 20832 Map It | CROSSROADS FUEL SERVICE INC | (252) 426-5216 | Email hidden; Javascript is required. | 12 | Payment Sent | 09/28/2024 | 05/20/2024 | Replacement or New Appliance | 1 | Replacement Installation | DAIKEN | DM96SN0804CNAB | 2308066340 | 05/20/2024 | img20241009_11445804.pdf | $0.00 | CALVIN TURNER | (301) 366-4912 | Email hidden; Javascript is required. | 4603 WINDING STONE CIRCLE OLNEY, Maryland 20832 Map It | 511 CHAPANOKE RD HERTFORD, North Carolina 27944 Map It | The following materials are required to complete your application:
| img20241009_114458041.pdf | |||||||||||||||||||||||||||||||||||||||||||||
2024-18537011 | Bobby Moore | 861 W. Hilliardston Road Nashville, North Carolina 27856 Map It | 861 W. Hilliardston Road Nashville, North Carolina 27856 Map It | L H Dickens & Son Inc | (919) 853-2117 | Email hidden; Javascript is required. | 27 | Payment Sent | 09/13/2024 | 09/13/2024 | Replacement or New Appliance | 1 | Replacement Installation | rheem | rgeazr036ajt081naaja | f272401729 | 09/13/2024 | MOOBOA-REBATE.pdf | $0.00 | Bobby Moore | (252) 813-9214 | 861 W. Hilliardston Road Nashville, North Carolina 27856 Map It | 861 W. Hilliardston Road Nashville, North Carolina 27856 Map It | The following materials are required to complete your application:
| MOOBOA-REBATE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
2024-65191569 | Jennifer Reynolds | 2429 NC 39 HWY South Louisburg, North Carolina 27549 Map It | 2429 NC 39 HWY South Louisburg, North Carolina 27549 Map It | L H Dickens & Son Inc | (919) 853-2117 | Email hidden; Javascript is required. | 10 | Payment Sent | 09/30/2024 | 09/30/2024 | Replacement or New Appliance | 1 | Replacement Installation | Goodman | gpgm34810041 | 2407044592 | 09/30/2024 | REYJENS-REBATE.pdf | $0.00 | Jennifer Reynolds | (919) 810-1115 | 2429 NC 39 HWY South Louisburg, North Carolina 27549 Map It | 2429 NC 39 HWY South Louisburg, North Carolina 27549 Map It | The following materials are required to complete your application:
| REYJENS-REBATE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
2024-15625246 | Linda Tharrington | 106 Indian Beach Way Louisburg, North Carolina 27549 Map It | 106 Indian Beach Way Louisburg, North Carolina 27549 Map It | L H Dickens & Son Inc | (919) 853-2117 | Email hidden; Javascript is required. | 27 | Payment Sent | 09/13/2024 | 09/13/2024 | Replacement or New Appliance | 1 | Replacement Installation | Goodman | GPGM33006041 | 2408164329 | 09/13/2024 | THALIN-REBATE.pdf | $0.00 | Linda Tharrington | (919) 496-2234 | 106 Indian Beach Way Louisburg, North Carolina 27549 Map It | 106 Indian Beach Way Louisburg, North Carolina 27549 Map It | The following materials are required to complete your application:
| THALIN-REBATE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
2024-80322909 | ELAINE KERR | Email hidden; Javascript is required. | 5188 OAKGROVE CHURCH ROAD LUMBERTON, North Carolina 28360 Map It | 5188 OAKGROVE CHURCH ROAD LUMBERTON, North Carolina 28360 Map It | Quality Oil and Gas - Lumberton | (910) 739-7446 | Email hidden; Javascript is required. | 3 | Payment Sent | 10/07/2024 | 09/23/2024 | Replacement or New Appliance | 1 | Replacement Installation | RINNAI | RL75EP | PDC2-056375 | 10/07/2024 | doc02702920241009140544.pdf | $0.00 | ELAINE KERR | (704) 491-8166 | Email hidden; Javascript is required. | 5188 OAKGROVE CHURCH ROAD LUMBERTON, North Carolina 28360 Map It | 5188 OAKGROVE CHURCH ROAD LUMBERTON, North Carolina 28360 Map It | The following materials are required to complete your application:
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2024-13336020 | Mt. Pisgah Baptist Church | 1288 Mt. Pisgah Church Road Apex, North Carolina 27523 Map It | 1288 Mt. Pisgah Church Road Apex, North Carolina 27523 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 3 | Payment Sent | 10/08/2024 | 10/02/2024 | Replacement or New Appliance | 1 | Replacement Installation | Carrier | 59SC6A100M21-20 | 3224A46477 | 10/02/2024 | Markham-rebate-Mt-Pisgah-Church.pdf | $0.00 | Mt. Pisgah Baptist Church | (919) 362-7951 | 1288 Mt. Pisgah Church Road Apex, North Carolina 27523 Map It | 1288 Mt. Pisgah Church Road Apex, North Carolina 27523 Map It | The following materials are required to complete your application:
| Markham-rebate-Mt-Pisgah-Church1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
2024-61867519 | DANNY ARMSTRONG | 481 CORNWALLIS RD TEACHEY, North Carolina 28464 Map It | 481 CORNWALLIS RD TEACHEY, North Carolina 28464 Map It | BROOKS HEATING AND COOLING, INC | (910) 284-2222 | Email hidden; Javascript is required. | 4 | Incomplete | 11/15/2024 | 10/07/2024 | 09/30/2024 | Replacement or New Appliance | 1 | Propane to Propane | Furnace ($400.00) | HEIL | PGD436090K000K | F240748272 | 09/30/2024 | dannyinv.pdf | $400.00 | DANNY ARMSTRONG | (910) 777-9438 | 481 CORNWALLIS RD TEACHEY, North Carolina 28464 Map It | 481 CORNWALLIS RD TEACHEY, North Carolina 28464 Map It | The following materials are required to complete your application:
| dannyinv1.pdf | |||||||||||||||||||||||||||||||||||||||||||||
2024-16539004 | Troy Teasdale | Email hidden; Javascript is required. | 5200 Dutch Elm Drive Apex, North Carolina 27539 Map It | 5200 Dutch Elm Drive Apex, North Carolina 27539 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 3 | Payment Sent | 10/08/2024 | 10/02/2024 | New Construction | 4 | Lennox | ML193UH045XE36B-53 | 1723C33622 | 10/02/2024 | new-construction4.pdf | Lennox | M1193UH04SXE | 1724E51111 | 10/02/2024 | new-construction5.pdf | Navian | NPE240 | 2087V245202984 | 10/01/2024 | new-construction6.pdf | KCGC55855500 | Kitchenaid | DC4909500 | 10/01/2024 | new-construction7.pdf | $0.00 | Troy Teasdale | (919) 632-4621 | Email hidden; Javascript is required. | 5200 Dutch Elm Drive Apex, North Carolina 27539 Map It | 214 Eagle Creek Ln Pittsboro, North Carolina 27312 Map It | The following materials are required to complete your application:
| Empire Contractors/Assured Construction | |||||||||||||||||||||||||||||||
2024-18018214 | CRYSTAL LUSK-TOWNSEND | Email hidden; Javascript is required. | 5457 NC HWY 194 S BANNER ELK, North Carolina 28604 Map It | 5457 NC HWY 194 S BANNER ELK, North Carolina 28604 Map It | APPALACHIAN ENERGY | (828) 262-3637 | Email hidden; Javascript is required. | 3 | Payment Sent | 10/08/2024 | 10/08/2024 | Replacement or New Appliance | 1 | Replacement Installation | RINNAI | EX38DTP | PG.LB-015359 | 10/08/2024 | CRYSTAL-TOWNSEND-INVOICE.pdf | $0.00 | CRYSTAL LUSK-TOWNSEND | (828) 719-7105 | Email hidden; Javascript is required. | 5457 NC HWY 194 S BANNER ELK, North Carolina 28604 Map It | 5457 NC HWY 194 S BANNER ELK, North Carolina 28604 Map It | The following materials are required to complete your application:
| CRYSTAL-TOWNSEND-INVOICE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||
2024-11080198 | Ramagopal Devapatla | Email hidden; Javascript is required. | 127 Yellow River Way Garner, North Carolina 27529 Map It | 127 Yellow River Way Garner, North Carolina 27529 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 2 | Payment Sent | 10/10/2024 | 10/10/2024 | New Construction | 1 | Whirpool | WCGK5056P500 | DD1803131 | 10/10/2024 | new-construction8.pdf | $0.00 | Ramagopal Devapatla | (856) 656-0456 | Email hidden; Javascript is required. | 127 Yellow River Way Garner, North Carolina 27529 Map It | 127 Yellow River Way Garner, North Carolina 27529 Map It | The following materials are required to complete your application:
| New Homes Inc. | ||||||||||||||||||||||||||||||||||||||||||||||
2024-13478182 | Margaret S Heafner | Email hidden; Javascript is required. | 725 Laurel Creek Rd Todd, North Carolina 28684 Map It | 725 Laurel Creek Rd Todd, North Carolina 28684 Map It | Blue Ridge Energy, LLC | (828) 758-4401 | Email hidden; Javascript is required. | 19 | Cancelled | 09/23/2024 | 09/04/2024 | Replacement or New Appliance | 1 | Replacement Installation | Rinnai | RE180 | PK.UA-113809 | 09/23/2024 | Cargas-Scan.pdf | $0.00 | Margaret S Heafner | (336) 877-2349 | Email hidden; Javascript is required. | 725 Laurel Creek Rd Todd, North Carolina 28684 Map It | 725 Laurel Creek Rd Todd, North Carolina 28684 Map It | The following materials are required to complete your application:
| Cargas-Scan1.pdf | |||||||||||||||||||||||||||||||||||||||||||||
2024-15893588 | JERRY BURDEN | Email hidden; Javascript is required. | 470 POINTE VISTA DR ELIZABETH CTIY, North Carolina 27909 Map It | 470 POINTE VISTA DR ELIZABETH CTIY, North Carolina 27909 Map It | CROSSROADS FUEL SERVICE INC | (252) 426-5216 | Email hidden; Javascript is required. | 1 | Payment Sent | 10/11/2024 | 10/11/2024 | New Construction | 3 | DAIKEN | GPGM34208041AB | 2408124100 | 10/11/2024 | DAIKEN | GPGM33608041AB | 2408098153 | 10/11/2024 | NAVIEN | NPE240A2 | 2087B2390759122 | 10/11/2024 | $0.00 | JERRY BURDEN | (757) 553-1288 | Email hidden; Javascript is required. | 470 POINTE VISTA DR ELIZABETH CTIY, North Carolina 27909 Map It | 470 POINTE VISTA DR ELIZABETH CTIY, North Carolina 27909 Map It | The following materials are required to complete your application:
| JERRY BURDEN | |||||||||||||||||||||||||||||||||||||||
2024-10209958 | Brian Thompson | Email hidden; Javascript is required. | 4644 Rose Loop Rd Nashville, North Carolina 27856 Map It | 4644 Rose Loop Rd Nashville, North Carolina 27856 Map It | Super Flame Gas Company Inc | (252) 446-6188 | Email hidden; Javascript is required. | 2 | Payment Sent | 10/10/2024 | 08/23/2024 | Replacement or New Appliance | 1 | Replacement Installation | Comfortmaker | PGD436090K000K1 | F243146685 | 08/23/2024 | scan_1.pdf | $0.00 | Brian Thompson | (252) 908-2620 | Email hidden; Javascript is required. | 4644 Rose Loop Rd Nashville, North Carolina 27856 Map It | 4644 Rose Loop Rd Nashville, North Carolina 27856 Map It | The following materials are required to complete your application:
| scan_11.pdf | |||||||||||||||||||||||||||||||||||||||||||||
2024-19060135 | AGNES MOORE | P O BOX 8 8522 RED OAK BLVD RED OAK, North Carolina 27868 Map It | P O BOX 8 8522 RED OAK BLVD RED OAK, North Carolina 27868 Map It | Super Flame Gas Company Inc | (252) 446-6188 | Email hidden; Javascript is required. | 12 | Payment Sent | 09/30/2024 | 09/30/2024 | Replacement or New Appliance | 1 | Replacement Installation | Rheem | R801T1005A21UHSNAS | W332404085 | 09/30/2024 | AGNES-MOORE.pdf | $0.00 | AGNES MOORE | (252) 443-4992 | P O BOX 8 8522 RED OAK BLVD RED OAK, North Carolina 27868 Map It | P O BOX 8 8522 RED OAK BLVD RED OAK, North Carolina 27868 Map It | The following materials are required to complete your application:
| AGNES-MOORE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
2024-10009056 | TOM ALLAN | 368 EDENS GATE RD DEEP GAP, North Carolina 28618 Map It | 368 EDENS GATE RD DEEP GAP, North Carolina 28618 Map It | APPALACHIAN ENERGY | (828) 262-3637 | Email hidden; Javascript is required. | 2 | Payment Sent | 10/10/2024 | 10/10/2024 | Replacement or New Appliance | 1 | Replacement Installation | rinnai | RL94I | PF.CA-093773 | 10/10/2024 | ALLAN-REBATE.pdf | $0.00 | TOM ALLAN | (828) 264-6823 | 368 EDENS GATE RD DEEP GAP, North Carolina 28618 Map It | 368 EDENS GATE RD DEEP GAP, North Carolina 28618 Map It | The following materials are required to complete your application:
| ALLAN-REBATE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
2024-16360835 | HIMANSHU J PATEL | 102 PALLISER CT ELIZABETH CITY, North Carolina 27909 Map It | 102 PALLISER CT ELIZABETH CITY, North Carolina 27909 Map It | CROSSROADS FUEL SERVICE INC | (252) 426-5216 | Email hidden; Javascript is required. | 6 | Payment Sent | 10/09/2024 | 10/09/2024 | New Construction | 1 | RINNAI | REU-VE2737FFD-US | RK-UA139858 | 10/09/2024 | $0.00 | HIMANSHU J PATEL | (252) 267-3195 | 102 PALLISER CT ELIZABETH CITY, North Carolina 27909 Map It | 1378 MILLPOND RD ELIZABETH CITY, North Carolina 27909 Map It | The following materials are required to complete your application:
| HJ PATEL | |||||||||||||||||||||||||||||||||||||||||||||||||
2024-18127140 | BRUCE BUCKLEY | Email hidden; Javascript is required. | 1919 NEW CUT RD LEXINGTON, North Carolina 27292 Map It | 1919 NEW CUT RD LEXINGTON, North Carolina 27292 Map It | Euliss Propane | (336) 622-3055 | Email hidden; Javascript is required. | 12 | Payment Sent | 10/03/2024 | 05/31/2024 | Replacement or New Appliance | 1 | Replacement Installation | Carrier | 59TN6C080C17-14 | 1924A49444 | 10/01/2024 | Invoice-1767952.pdf | $0.00 | BRUCE BUCKLEY | (727) 853-4030 | Email hidden; Javascript is required. | 1919 NEW CUT RD LEXINGTON, North Carolina 27292 Map It | 1919 NEW CUT RD LEXINGTON, North Carolina 27292 Map It | The following materials are required to complete your application:
| Invoice-17679521.pdf | |||||||||||||||||||||||||||||||||||||||||||||
2024-13665947 | KARLA & TIMOTHY LOWE | Email hidden; Javascript is required. | 391 BAILEY'S COVE DR LEWISVILLE, North Carolina 27023 Map It | 391 BAILEY'S COVE DR LEWISVILLE, North Carolina 27023 Map It | G&B Energy | (336) 998-9748 | Email hidden; Javascript is required. | 5 | Payment Sent | 10/10/2024 | 10/09/2024 | Replacement or New Appliance | 1 | Replacement Installation | rinnai | RL75IP | PHCA124587 | 10/09/2024 | LOWE-INVOICE.pdf | $0.00 | KARLA & TIMOTHY LOWE | (616) 914-8655 | Email hidden; Javascript is required. | 391 BAILEY'S COVE DR LEWISVILLE, North Carolina 27023 Map It | 405 DORSE ROAD LEWISVILLE, North Carolina 27023 Map It | The following materials are required to complete your application:
| LOWE-INVOICE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||
2024-81280031 | KENNY JOHNSON | 589 INDIAN GROVE CHURCH ROAD MOUNT AIRY, North Carolina 27030 Map It | 589 INDIAN GROVE CHURCH ROAD MOUNT AIRY, North Carolina 27030 Map It | G&B Energy | (336) 368-3678 | Email hidden; Javascript is required. | 1 | Payment Sent | 10/14/2024 | 08/21/2024 | Replacement or New Appliance | 1 | Replacement Installation | NAVIEN | NPE210A | 2082W2421759027 | 08/21/2024 | KENNY-JOHNSON.pdf | $0.00 | KENNY JOHNSON | (336) 351-4301 | 589 INDIAN GROVE CHURCH ROAD MOUNT AIRY, North Carolina 27030 Map It | 589 INDIAN GROVE CHURCH ROAD MOUNT AIRY, North Carolina 27030 Map It | The following materials are required to complete your application:
| KENNY-JOHNSON1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
2024-30150648 | Hazel A. McDuffie | PO Box 544 Clio, South Carolina 29525 Map It | PO Box 544 Clio, South Carolina 29525 Map It | Quality Oil and Gas Company of Laurinburg | (910) 276-6045 | Email hidden; Javascript is required. | 7 | Payment Sent | 10/09/2024 | 09/26/2024 | Replacement or New Appliance | 1 | New Installation | AMANA | AGR5330BAE3 | VE44578242 | 10/09/2024 | $0.00 | Hazel A. McDuffie | (843) 586-9506 | PO Box 544 Clio, South Carolina 29525 Map It | 208 Calhoun st Bennettsville, South Carolina 29525 Map It | The following materials are required to complete your application:
| Badcock-receipt-McDuffie-1009241.pdf | ||||||||||||||||||||||||||||||||||||||||||||||||
2024-42695707 | Justin Burden | Email hidden; Javascript is required. | 1616 Early Station Rd Ahoskie, North Carolina 27910 Map It | 1616 Early Station Rd Ahoskie, North Carolina 27910 Map It | Sharp Energy | (252) 333-3330 | Email hidden; Javascript is required. | 6 | Payment Sent | 10/10/2024 | 10/10/2024 | Replacement or New Appliance | 1 | Replacement Installation | Rinnai | RX160IN | SBBA-016027 | 10/10/2024 | Burden-Receipt.pdf | $0.00 | Justin Burden | (252) 287-5008 | Email hidden; Javascript is required. | 1616 Early Station Rd Ahoskie, North Carolina 27910 Map It | 1616 Early Station Rd Ahoskie, North Carolina 27910 Map It | The following materials are required to complete your application:
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2024-14778032 | TONY HARDY | 4152 JOYNER RD ELM CITY, North Carolina 27822 Map It | 4152 JOYNER RD ELM CITY, North Carolina 27822 Map It | Super Flame Gas Company Inc | (252) 446-6188 | Email hidden; Javascript is required. | 1 | Payment Sent | 10/15/2024 | 10/14/2024 | Replacement or New Appliance | 1 | Replacement Installation | Rheem | RGEAZR036AJT081NA | F372401728 | 10/14/2024 | TONY-HARDY.pdf | $0.00 | TONY HARDY | (812) 325-8990 | 4152 JOYNER RD ELM CITY, North Carolina 27822 Map It | 4152 JOYNER RD ELM CITY, North Carolina 27822 Map It | The following materials are required to complete your application:
| TONY-HARDY1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
2024-13030048 | Gabe Wilmoth | 205 Yorkfield dr Elkin, North Carolina 28621 Map It | 205 Yorkfield dr Elkin, North Carolina 28621 Map It | G & B Energy | (336) 835-3607 | Email hidden; Javascript is required. | 2 | Payment Sent | 10/14/2024 | 10/14/2024 | Replacement or New Appliance | 1 | Replacement Installation | Kozy Heat | Chaska 29L | 24-50879-14 | 10/14/2024 | BRNB42200A94A58_001404.pdf | $0.00 | Gabe Wilmoth | (336) 244-6595 | 205 Yorkfield dr Elkin, North Carolina 28621 Map It | 205 Yorkfield dr Elkin, North Carolina 28621 Map It | The following materials are required to complete your application:
| BRNB42200A94A58_0014041.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
2024-19165167 | FREDDY HALL | Email hidden; Javascript is required. | P.O. BOX 816 WALLACE, North Carolina 28466 Map It | P.O. BOX 816 WALLACE, North Carolina 28466 Map It | BROOKS HEATING AND COOLING, INC | (910) 284-2222 | Email hidden; Javascript is required. | 2 | Declined | 11/26/2024 | 10/14/2024 | 10/01/2024 | Replacement or New Appliance | 1 | New Installation | GOODMAN | GPGM32406041AB | 2402133173 | 10/01/2024 | burrowshall.pdf | $0.00 | FREDDY HALL | (910) 285-3600 | Email hidden; Javascript is required. | P.O. BOX 816 WALLACE, North Carolina 28466 Map It | 317 N NORWOOD ST WALLACE, North Carolina 28466 Map It | The following materials are required to complete your application:
| burrowshall1.pdf | ||||||||||||||||||||||||||||||||||||||||||||
Invoice # | Recipient Name | Customer / Recipient Email | Mailing Address | Installation Address | Company Name | Company Phone | Company Email | Application Age | Rebate Status | Rebate Expiration | Safety Inspection Date | Purchase/Invoice Date | Type of Installation | Were you affected by hurricane Helene? | What county do you live in? | How many rebates would you like to claim? | Installation Type | Rebate #1 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #2 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #3 | Appliance Type | Appliance Type | Brand | Model # | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #4 | Appliance Type | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Rebate #5 | Appliance Type | Appliance Type | Model # | Brand | Serial Number | Installation Date | Upload Receipt | Upload Receipt | Total | Customer / Recipient Name | Customer / Recipient Phone Number | Customer / Recipient Email | Customer / Recipient Address | Customer / Recipient Installation Address | Required Materials | Upload Proof of Purchase: | Name of Builder/Contractor | Upload Spec Sheet for Manufactured Home |