Window Rebate Form Please fill out each section and attach the required documentation. Any questions can be directed to member services at (208) 743-1501. Member / Customer InformationName* First Last CPC Account Number* Service Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email Home Heating Information Must be Electrically HeatedHeating* Electric Furnace Electric Zonal Heat Pump Original Window Type* Single Pane Double Pane w/Metal Frames Completion Date* Total Window Square Footage(if known)Required PaperworkSupporting DocumentsInvoices / Receipts; Pictures of Electric Heat Source; Pictures (before & after); Drop files here or Select files Max. file size: 100 MB.
