Rebate Application

Please read - Important Program Details Turn Help On/Off

Part I Complete prior to start of project
Business Name Contact Name CPS Energy Account Number
Address of Installation City State Zip Code
Mailing Address Same as Installation City State Zip Code
Phone Number ( ) Fax Number ( )
( ) - ( ) -

Customer Email
Re-type Email

Contractor Name License #
Phone Number ( ) Fax Number ( ) Email
( ) - ( ) -
Contact Name Permit #

Type of rebate
HVAC       Lighting      Custom
How did you hear about this program?
Contractor CPS Energy representative Contact at another company Newspaper
Projected Completion Date Account Manager, if known

Keep a copy for your records