Water Heater Rebates

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Use this form to submit your information for a rebate for the purchase of a new water heater. Please keep in mind, your submission will be reviewed and validated by Forked Deer Electric Cooperative personnel prior to the issuance of a rebate.

For details and requirements on the rebate, please visit our water heater rebate page.

Customer Information

Name

Address

Phone Number

Account Number

Water Heater Information

Model Number

Energy Factor

Receipt

Security Lights

There are no fees for cash, bank draft, or electronic check transactions; however, any credit card transactions will be assessed a convenience fee based on the following schedule:

$5.00 to $300.00: $3.95 fee
$300.01 to $600.00: $7.90 fee
$600.01 to $900.00: $11.85 fee
$900.01 to $1,200.00: $15.80 fee

The maximum amount payable per transaction is $1,200.00. Any amount over this must be paid as split transactions.

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