Smart Thermostat Rebate Form

Customer Name(Required)

First Last

Account #

Telephone(Required)

Email(Required)

Service Address(Required)

Street Address City State ZIP Code

Is this also your mailing address?(Required)

Mailing Address(Required)

Street Address City State ZIP Code

Installation Date (mm/dd/yyyy)(Required)

Have you verified that your thermostat is on the qualifying products list?(Required)

Please enter the brand of thermostat (Ecobee, Nest, Lennox, etc.)

Please enter the model number of your thermostat?

What heating system is the thermostat controlling?(Required)

How was your thermostat installed?

Please upload your receipt of invoice (must be fully paid)

Drop files here or

Max. file size: 100 MB.