COMMERCIAL REBATE APPLICATION
CONTACT INFORMATION: Contact Name
Phone Number
Company Contact Email Address
CUSTOMER/FACILITY INFORMATION: Company Name Address (where equipment is installed)
City / State / Zip
Name as it appears on your TID Electric Bill (if different)
TID Account Number
ADDRESS WHERE REBATE CHECK SHOULD BE MAILED: Company Name
Attention
Mailing Address
City / State / Zip
Federal Taxpayer ID # Attach payment authorization on company letterhead if check is to be made payable to a third party.
CUSTOMER AGREEMENT: I agree to submit the appropriate rebate form(s) and this signed application to Turlock Irrigation District (TID) for pre-approval. Once approved, as a qualified TID Customer, I certify that I purchased and installed the indicated energy savings products for use in my business and not for resale. Upon project completion, I will submit the rebate form(s) and rebate application along with the paid itemized invoice(s) for the equipment installed. I agree to verification inspections by TID representatives of both the sales transaction and product installation. I certify that the information on the rebate form(s) is true and correct and that any insufficient or incorrect invoices will delay the release of the rebate check. I have not received any other rebates for the equipment indicated on the rebate form(s). TID reserves the right to verify project savings through independent measurement and evaluation. Prescriptive rebates are limited to 100% of the project cost/Custom rebates are limited to 50% of the project cost.
I have read and understand the program rules. I have read and agree to the terms and conditions stated in this rebate.
Customer Signature
Date
Customer Name (Please Print)
Title
Turlock Irrigation District • 333 E. Canal Drive • P.O. Box 949 • Turlock, CA 95381 • (209) 883-8432 • www.tid.org