| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024-51555458 | Anthony Powell | 3132 Lone Creek Road New Hill, North Carolina 27562 Map It | 3132 Lone Creek Road New Hill, North Carolina 27562 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 2 | Payment Sent | 10/15/2024 | 10/11/2024 | Replacement or New Appliance | 1 | Replacement Installation | Carrier | 59TP6C100V21-20 | 3624A46308 | 10/11/2024 | Apex-Heating-Air-Anthony-Powell.pdf | $0.00 | Anthony Powell | (910) 257-3456 | 3132 Lone Creek Road New Hill, North Carolina 27562 Map It | 3132 Lone Creek Road New Hill, North Carolina 27562 Map It | The following materials are required to complete your application:
| Apex-Heating-Air-Anthony-Powell1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
| 2024-19319390 | DANNY ARMSTRONG | 481 CORNWALLIS ROAD TEACHEY, North Carolina 28464 Map It | 481 CORNWALLIS ROAD TEACHEY, North Carolina 28464 Map It | SMITH BROTHERS GAS COMPANY | (910) 284-3309 | Email hidden; Javascript is required. | 11 | Payment Sent | 10/07/2024 | 09/30/2024 | Replacement or New Appliance | 1 | Replacement Installation | HEIL | PGD436090KOOOK | F240748272 | 09/30/2024 | dannyarmstrongreciepts.pdf | $0.00 | DANNY ARMSTRONG | (910) 777-9438 | 481 CORNWALLIS ROAD TEACHEY, North Carolina 28464 Map It | 481 CORNWALLIS ROAD TEACHEY, North Carolina 28464 Map It | The following materials are required to complete your application:
| dannyarstrongrebate100724.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
| 2024-15494072 | Eric Greer | Email hidden; Javascript is required. | 4218 Williams Place Morganton, North Carolina 28655 Map It | 4218 Williams Place Morganton, North Carolina 28655 Map It | Blue Ridge Energy, LLC | (828) 758-4401 | Email hidden; Javascript is required. | 25 | Payment Sent | 09/23/2024 | 07/19/2024 | New Construction | 1 | Rinnai | RXP199IN | 21SC.BA-044144 | 08/29/2024 | Receipt-Greer.pdf | $0.00 | Eric Greer | (828) 443-4208 | Email hidden; Javascript is required. | 4218 Williams Place Morganton, North Carolina 28655 Map It | 4218 Williams Place Morganton, North Carolina 28655 Map It | The following materials are required to complete your application:
| Robbie Carswell Blue Ridge Energy- contractor unknown | ||||||||||||||||||||||||||||||||||||||||||||||
| 2024-89936688 | JACK OWENS | 102 LILLY LANE GATESVILLE, North Carolina 27938 Map It | 102 LILLY LANE GATESVILLE, North Carolina 27938 Map It | CROSSROADS FUEL SERVICE INC | (252) 426-5216 | Email hidden; Javascript is required. | 17 | Payment Sent | 10/02/2024 | 10/02/2024 | New Construction | 2 | RHEEM | RGEAZR030AJT081NA | F012400381 | 10/02/2024 | NAVIAN | NPN | 1725A2382266131A | 10/02/2024 | $0.00 | JACK OWENS | (252) 642-7977 | 102 LILLY LANE GATESVILLE, North Carolina 27938 Map It | 102 LILLY LANE GATESVILLE, North Carolina 27938 Map It | The following materials are required to complete your application:
| JACK OWENS | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-43570574 | Chris Jones | 123 Land Rd Stoneville, North Carolina 27048 Map It | 123 Land Rd Stoneville, North Carolina 27048 Map It | Dan River Propane Company Inc | (336) 548-9648 | Email hidden; Javascript is required. | 19 | Payment Sent | 10/03/2024 | 09/25/2024 | New Construction | 2 | Bryant | 916SA48060M17 | 96PCT1STGMCT60K4T17IN | 09/25/2024 | Whirlpool | WFG535S0L25 | RD1918003 | 09/25/2024 | $0.00 | Chris Jones | (336) 548-9648 | 123 Land Rd Stoneville, North Carolina 27048 Map It | 123 Land Rd Stoneville, North Carolina 27048 Map It | The following materials are required to complete your application:
| Pine State Builders | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-50221083 | BONNIE FULLE | Email hidden; Javascript is required. | 3647 SPANISH OAK HILL RD SNOW CAMP, North Carolina 27349 Map It | 3647 SPANISH OAK HILL RD SNOW CAMP, North Carolina 27349 Map It | Euliss Propane | (336) 622-3055 | Email hidden; Javascript is required. | 7 | Payment Sent | 10/15/2024 | 09/06/2024 | Replacement or New Appliance | 1 | Replacement Installation | RINNAI | REU-NB2530FF-US | BA-093849 | 10/15/2024 | Fuller-Invoice.pdf | $0.00 | BONNIE FULLE | (336) 558-5078 | Email hidden; Javascript is required. | 3647 SPANISH OAK HILL RD SNOW CAMP, North Carolina 27349 Map It | 3647 SPANISH OAK HILL RD SNOW CAMP, North Carolina 27349 Map It | The following materials are required to complete your application:
| Fuller-Invoice1.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-68017263 | David Fox | Email hidden; Javascript is required. | 4553 Tilley Creek Rd Cullowhee, North Carolina 28723 Map It | 4553 Tilley Creek Rd Cullowhee, North Carolina 28723 Map It | Superior Plus Propane | (864) 582-5475 | Email hidden; Javascript is required. | 8 | Payment Sent | 10/14/2024 | 10/14/2024 | Replacement or New Appliance | 1 | Replacement Installation | Rinnai | RL75IP | Us-089427 | 10/14/2024 | Task-Billing-23378590.pdf | $0.00 | David Fox | (828) 293-0649 | Email hidden; Javascript is required. | 4553 Tilley Creek Rd Cullowhee, North Carolina 28723 Map It | 4553 Tilley Creek Rd Cullowhee, North Carolina 28723 Map It | The following materials are required to complete your application:
| Task-Billing-233785901.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-66347233 | Cindy Moorhead | Email hidden; Javascript is required. | PO Box 100 Pittsboro, North Carolina 27312 Map It | PO Box 100 Pittsboro, North Carolina 27312 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 1 | Payment Sent | 10/21/2024 | 10/21/2024 | New Construction | 2 | Rinnai | RX199i | 5CBA031888 | 10/21/2024 | new-construction9.pdf | LG | LGGL6335 | 405KMC01891 | 10/21/2024 | new-construction10.pdf | $0.00 | Cindy Moorhead | (706) 325-9939 | Email hidden; Javascript is required. | PO Box 100 Pittsboro, North Carolina 27312 Map It | 2960 Silk Hope Gum Springs Road Pittsboro, North Carolina 27312 Map It | The following materials are required to complete your application:
| Ashford Homes | |||||||||||||||||||||||||||||||||||||||||
| 2024-81180887 | Joshua Johnson | 6200 Oak Stand Circle Raleigh, North Carolina 27606 Map It | 6200 Oak Stand Circle Raleigh, North Carolina 27606 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 4 | Payment Sent | 10/18/2024 | 10/18/2024 | New Construction | 1 | GE | P65930YP75 | 142927037P | 10/18/2024 | new-construction11.pdf | $0.00 | Joshua Johnson | (919) 669-7761 | 6200 Oak Stand Circle Raleigh, North Carolina 27606 Map It | 6200 Oak Stand Circle Raleigh, North Carolina 27606 Map It | The following materials are required to complete your application:
| New Home Inc. | ||||||||||||||||||||||||||||||||||||||||||||||||
| 2024-79109429 | Richard Huffer | Email hidden; Javascript is required. | 5046 East Greensboro Chapel Hill Rd Graham, North Carolina 27253 Map It | 5046 East Greensboro Chapel Hill Rd Graham, North Carolina 27253 Map It | L & M Nicholson Heating and Air, Inc. | (336) 376-9998 | Email hidden; Javascript is required. | 4 | Incomplete | 01/18/2025 | 10/18/2024 | 10/18/2024 | Replacement or New Appliance | 1 | New Installation | Trane | 4YCC4036E1070A | 24404115FA | 10/18/2024 | Richard-Huffer-Invoice-46895641.pdf | $0.00 | Richard Huffer | (336) 376-9579 | Email hidden; Javascript is required. | 5046 East Greensboro Chapel Hill Rd Graham, North Carolina 27253 Map It | 5046 East Greensboro Chapel Hill Rd Graham, North Carolina 27253 Map It | The following materials are required to complete your application:
| Richard-Huffer-Invoice-468956411.pdf | ||||||||||||||||||||||||||||||||||||||||||||
| 2024-20527615 | Tony Barber | 10414 Chapel Hill Road Morrisville, North Carolina 27560 Map It | 10414 Chapel Hill Road Morrisville, North Carolina 27560 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 2 | Payment Sent | 10/21/2024 | 10/09/2024 | Replacement or New Appliance | 1 | Replacement Installation | Rinnai | EX38DTP | 21PE.LB-008778 | 10/21/2024 | Barber-invoice.pdf | $0.00 | Tony Barber | (919) 257-3768 | 10414 Chapel Hill Road Morrisville, North Carolina 27560 Map It | 10416 Chapel Hill Road Morrisville, North Carolina 27560 Map It | The following materials are required to complete your application:
| Barber-invoice1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
| 2024-80362302 | Todd Lasko | Email hidden; Javascript is required. | 380 John Horton Road Apex, North Carolina 27523 Map It | 380 John Horton Road Apex, North Carolina 27523 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 5 | Payment Sent | 10/18/2024 | 10/01/2024 | New Construction | 3 | Trane | V2B060UPA | 234225RGKG | 10/01/2024 | new-construction12.pdf | Trane | 59V2B06064PS | 2319304HKG | 10/01/2024 | new-construction13.pdf | Navien | NPE240A2 | 460424469 | 10/01/2024 | new-construction14.pdf | $0.00 | Todd Lasko | (919) 337-7615 | Email hidden; Javascript is required. | 380 John Horton Road Apex, North Carolina 27523 Map It | 380 John Horton Road Apex, North Carolina 27523 Map It | The following materials are required to complete your application:
| Southern Construction | ||||||||||||||||||||||||||||||||||||
| 2024-54656093 | FREDDIE HALL | PO BOX 816 317 N NORWOOD ST Wallace, North Carolina 28466 Map It | PO BOX 816 317 N NORWOOD ST Wallace, North Carolina 28466 Map It | Sharp Energy | (910) 640-8774 | Email hidden; Javascript is required. | 16 | Payment Sent | 10/07/2024 | 10/01/2024 | Replacement or New Appliance | 1 | Replacement Installation | GOODMAN | GPGM32406041AB | 2402133173 | 10/01/2024 | Scan.pdf | $0.00 | FREDDIE HALL | (910) 285-3600 | PO BOX 816 317 N NORWOOD ST Wallace, North Carolina 28466 Map It | PO BOX 816 317 N NORWOOD ST Wallace, North Carolina 28466 Map It | The following materials are required to complete your application:
| ||||||||||||||||||||||||||||||||||||||||||||||||
| 2024-15746116 | Shivsomnath LLC | Email hidden; Javascript is required. | 1021 Chessridge Way Morrisville, North Carolina 27560 Map It | 1021 Chessridge Way Morrisville, North Carolina 27560 Map It | L.G. Jordan Oil Co., Inc. | (919) 362-8388 | Email hidden; Javascript is required. | 2 | Payment Sent | 10/22/2024 | 10/17/2024 | New Construction | 1 | Samsung | NX608551155AA | GHFE7DDWS01832T | 10/18/2024 | new-construction15.pdf | $0.00 | Shivsomnath LLC | (201) 294-2495 | Email hidden; Javascript is required. | 1021 Chessridge Way Morrisville, North Carolina 27560 Map It | 1509 Hattie Road Apex, North Carolina 27523 Map It | The following materials are required to complete your application:
| New Home Inc. | ||||||||||||||||||||||||||||||||||||||||||||||
| 2024-11517004 | ROY MATTHEWS | 216 CORINTH CHURCH ROAD ROSE HILL, North Carolina 28458 Map It | 216 CORINTH CHURCH ROAD ROSE HILL, North Carolina 28458 Map It | SMITH BROTHERS GAS COMPANY | (910) 284-3309 | Email hidden; Javascript is required. | 3 | Payment Sent | 10/21/2024 | 10/21/2024 | Replacement or New Appliance | 1 | New Installation | rinnai | RE160ep | SH UA-111632 | 10/21/2024 | ROYMATTHEWSRECEIPT.pdf | $0.00 | ROY MATTHEWS | (910) 284-1746 | 216 CORINTH CHURCH ROAD ROSE HILL, North Carolina 28458 Map It | 216 CORINTH CHURCH ROAD ROSE HILL, North Carolina 28458 Map It | The following materials are required to complete your application:
| roymatthewsrebate2024.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
| 2024-13117828 | DIANE HENDERSON | Email hidden; Javascript is required. | 783 JAMES RD. WALLACE, North Carolina 28466 Map It | 783 JAMES RD. WALLACE, North Carolina 28466 Map It | Sharp Energy | (910) 640-8774 | Email hidden; Javascript is required. | 9 | Payment Sent | 10/15/2024 | 10/14/2024 | Replacement or New Appliance | 1 | New Installation | BWC | RG24056X | AD53130053 | 10/15/2024 | Scan2.pdf | $0.00 | DIANE HENDERSON | (910) 590-8427 | Email hidden; Javascript is required. | 783 JAMES RD. WALLACE, North Carolina 28466 Map It | 783 JAMES RD. WALLACE, North Carolina 28466 Map It | The following materials are required to complete your application:
| Scan3.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-19855877 | BILL HARPER | 598 N LAKESIDE DR HENDERSONVILLE,, North Carolina 28739 Map It | 598 N LAKESIDE DR HENDERSONVILLE,, North Carolina 28739 Map It | G & B ENERGY | (828) 891-7371 | Email hidden; Javascript is required. | 15 | Payment Sent | 10/09/2024 | 10/09/2024 | Replacement or New Appliance | 1 | New Installation | RINNAI | RL75IP | PH.CA-124588 | 10/09/2024 | HARPER-FINAL-WORK-ORDER-REBATE.pdf | $0.00 | BILL HARPER | (828) 692-1124 | 598 N LAKESIDE DR HENDERSONVILLE,, North Carolina 28739 Map It | 598 N LAKESIDE DR HENDERSONVILLE,, North Carolina 28739 Map It | The following materials are required to complete your application:
| ||||||||||||||||||||||||||||||||||||||||||||||||
| 2024-20212067 | MAGNOLIA METHODIST CHURCH | PO BOX 307 MAGNOLIA, North Carolina 28453 Map It | PO BOX 307 MAGNOLIA, North Carolina 28453 Map It | SMITH BROTHERS GAS COMPANY | (910) 284-3309 | Email hidden; Javascript is required. | 10 | Payment Sent | 10/14/2024 | 10/14/2024 | Replacement or New Appliance | 1 | New Installation | RINNAI | RE199EP | SG UA-093973 | 10/14/2024 | MAGNOLIAMETHODISTRECEIPT2024.pdf | $0.00 | MAGNOLIA METHODIST CHURCH | (910) 289-9425 | PO BOX 307 MAGNOLIA, North Carolina 28453 Map It | PO BOX 307 MAGNOLIA, North Carolina 28453 Map It | The following materials are required to complete your application:
| magnoiamethodistrebate2024.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
| 2024-17034698 | Ned Smith | 326 T-Model Jones Road Castalia, North Carolina 27816 Map It | 326 T-Model Jones Road Castalia, North Carolina 27816 Map It | L H Dickens & Son Inc | (919) 853-2117 | Email hidden; Javascript is required. | 23 | Payment Sent | 10/01/2024 | 10/01/2024 | Replacement or New Appliance | 1 | New Installation | Goodman | GPGM34808041 | 2407217796 | 10/01/2024 | NED-SMITH-REBATE-SMINED.pdf | $0.00 | Ned Smith | (919) 853-3113 | 326 T-Model Jones Road Castalia, North Carolina 27816 Map It | 326 T-Model Jones Road Castalia, North Carolina 27816 Map It | The following materials are required to complete your application:
| NED-SMITH-REBATE-SMINED1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
| 2024-93980006 | EARL FORD | 294 HEATHER RIDGE LANE BLOWING ROCK, North Carolina 28605 Map It | 294 HEATHER RIDGE LANE BLOWING ROCK, North Carolina 28605 Map It | APPALACHIAN ENERGY | (828) 262-3637 | Email hidden; Javascript is required. | 13 | Payment Sent | 10/11/2024 | 10/11/2024 | Replacement or New Appliance | 1 | New Installation | HEATSTAR | HSSVFBF30LPBT | EC 56091 2111256067 | 10/11/2024 | FORD-REBATE.pdf | $0.00 | EARL FORD | (828) 295-3107 | 294 HEATHER RIDGE LANE BLOWING ROCK, North Carolina 28605 Map It | 294 HEATHER RIDGE LANE BLOWING ROCK, North Carolina 28605 Map It | The following materials are required to complete your application:
| FORD-REBATE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
| 2024-14578415 | JOHN SOLER | Email hidden; Javascript is required. | 311 HOOK DR. FUQUAY-VARINA, North Carolina 27526 Map It | 311 HOOK DR. FUQUAY-VARINA, North Carolina 27526 Map It | K.B. Johnson Oil & Gas Co. | (919) 552-8474 | Email hidden; Javascript is required. | 1 | Payment Sent | 10/23/2024 | 10/23/2024 | New Construction | 3 | LENNOX | CK40HT-36B-01 | 1524E46114 | 10/23/2024 | RINNAI | RE199i | SG.UA-099639 | 10/23/2024 | KITCHEN AID | JGRP436HL05 | DD1803622 | 10/23/2024 | $0.00 | JOHN SOLER | (423) 596-5193 | Email hidden; Javascript is required. | 311 HOOK DR. FUQUAY-VARINA, North Carolina 27526 Map It | 311 HOOK DR. FUQUAY-VARINA, North Carolina 27526 Map It | The following materials are required to complete your application:
| TRIPLE A HOMES | |||||||||||||||||||||||||||||||||||||||
| 2024-13260328 | GEORGE HERTEL | 3891 RAILROAD GRADE RD FLEETWOOD, North Carolina 28626 Map It | 3891 RAILROAD GRADE RD FLEETWOOD, North Carolina 28626 Map It | APPALACHIAN ENERGY | (828) 262-3637 | Email hidden; Javascript is required. | 14 | Payment Sent | 10/10/2024 | 10/10/2024 | Replacement or New Appliance | 1 | New Installation | RINNAI | RU160IP | NJ.BA-159754 | 10/10/2024 | HERTEL-REBATE.pdf | $0.00 | GEORGE HERTEL | (305) 664-2096 | 3891 RAILROAD GRADE RD FLEETWOOD, North Carolina 28626 Map It | PO BOX 147 ISLAMORADA, Florida 33036 Map It | The following materials are required to complete your application:
| HERTEL-REBATE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
| 2024-43013624 | SANDRA LONG | 300 AUTUMN LN BOONE, North Carolina 28607 Map It | 300 AUTUMN LN BOONE, North Carolina 28607 Map It | APPALACHIAN ENERGY | (828) 262-3637 | Email hidden; Javascript is required. | 13 | Payment Sent | 10/11/2024 | 10/11/2024 | Replacement or New Appliance | 1 | New Installation | RINNAI | RX199I | SD.BA-052365 | 10/11/2024 | LONG-REBATE.pdf | $0.00 | SANDRA LONG | (828) 964-3126 | 300 AUTUMN LN BOONE, North Carolina 28607 Map It | PO BOX 2561 BOONE, North Carolina 28607 Map It | The following materials are required to complete your application:
| LONG-REBATE1.pdf | |||||||||||||||||||||||||||||||||||||||||||||||
| 2024-12849570 | MARCO PEREZ | Email hidden; Javascript is required. | 26 DUKE LANE NEWTON GROVE, North Carolina 28365 Map It | 26 DUKE LANE NEWTON GROVE, North Carolina 28365 Map It | Parker Gas company | (910) 323-8283 | Email hidden; Javascript is required. | 15 | Payment Sent | 10/09/2024 | 10/09/2024 | Replacement or New Appliance | 1 | New Installation | RINNAI | RE180ELP | SE.UA-067469 | 10/09/2024 | 3023673.pdf | $0.00 | MARCO PEREZ | (910) 723-3734 | Email hidden; Javascript is required. | 26 DUKE LANE NEWTON GROVE, North Carolina 28365 Map It | 26 DUKE LANE NEWTON GROVE, North Carolina 28365 Map It | The following materials are required to complete your application:
| 30236731.pdf | |||||||||||||||||||||||||||||||||||||||||||||
| 2024-16023542 | SHELLY TAYLOR | Email hidden; Javascript is required. | 9360 NC 41 HWY W BLADENBORO, North Carolina 28320 Map It | 9360 NC 41 HWY W BLADENBORO, North Carolina 28320 Map It | Parker Gas company | (910) 323-8283 | Email hidden; Javascript is required. | 13 | Payment Sent | 10/11/2024 | 10/11/2024 | Replacement or New Appliance | 1 | New Installation | RINNAI | RUR199I | NG.BA-119288 | 10/11/2024 | 3022523.pdf | $0.00 | SHELLY TAYLOR | (910) 705-6049 | Email hidden; Javascript is required. | 9360 NC 41 HWY W BLADENBORO, North Carolina 28320 Map It | 9360 NC 41 HWY W BLADENBORO, North Carolina 28320 Map It | The following materials are required to complete your application:
| 30225231.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 |
