Outdoor Power Equipment Electrification Rebate Application

Mailing Address
PO Box 170
Granby, CO 80446-0170

970-887-3378
memberservices@mpei.com

Outdoor Equipment Rebate Application

Application Date:

Name:

Email:

Account Number:

Address:

City/Town

State/Province

ZIP/Postal Code

Date Equipment Installed:

Equipment Purchase Date:

Equipment Type

Mower Cost:

Riding Mower Cost:

Snow Blower Cost:

Is this a 2-Stage Snow Blower?

Yes

Trimmer Cost:

Chainsaw Cost:

Pruner Cost:

Leaf Blower Cost:

E-Bike Cost:

Quantity of E-Bikes Purchased?

Power Washer Cost:

Electric Forklift Cost:

Electric Pallet Jack Cost:

Additional Battery w/Equipment

The additional batteries must be purchased with equipment to qualify for a rebate.

Quantity of Additional Batteries Purchase?

Upload any supporting documentation for your Rebate Request.

Upload Slot A:

Please provide receipts for ALL Appliances.

Upload Slot B:

Upload Slot C:

Upload Slot D:

One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Comments:

Please use this text box for any additional comments.

NOTE: To qualify for an appliance rebate, you must be an MPE member and provide invoicing within 90 days of purchase.

Mountain Parks Electric, Inc.

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