Appliance Rebates | Highline Electric Association.

Applicant Info

Member Name

Phone

Installation Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Highline Account Number

Application Type

Purchase Date

Installation Date

How would you like to receive your rebate?

Credit Highline Account

Check via USPS

How did you hear about this rebate?

HEA Website

HEA Social Media (Facebook, Instagram)

Colorado Country Life

Contractor/Installer

Friend

Other…

Appliance

ENERGY STAR Clothes Dryer

Induction Cooktop

Recycle (Refrigerator/Freezer Only. Must provide proof.)

Appliance Manufacturer

Appliance Model

ENERGY STAR Certified

Type

Appliance Manufacturer

Appliance Model

Replacement Type

Appliance Manufacturer

Appliance Model

Greater than 7.75 cubic feet?

Copies of final paid receipt or invoices or proof of recycling. Must include ALL itemized pricing information (pre-tax costs, discounts, promotions, etc.).

One file only.
20 MB limit.
Allowed types: txt, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods.

Proof of ENERGY STAR

One file only.
20 MB limit.
Allowed types: txt, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods.

Photo of Previous Cooktop

One file only.
20 MB limit.
Allowed types: txt, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods.

Additional Documentation: Copies of receipt or invoices

One file only.
20 MB limit.
Allowed types: txt, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods.