Duke Rebate Form * First Name Last Name Email * Project Address * Street Name & # Please check when you replaced (reactive or proactive) Replace on Failure Early Replacement DUKE ACCT # * Add where you want it mailed to and in who's name you want it in if different from account holder. OFFICE USE ONLY: Air Conditioner Heat Pump Dual Fuel New Thermostat AHRI Installation Date MM DD YYYY Date Filed with Duke MM DD YYYY Once approved, you will receive the rebate within 4-6 weeks via prepaid Mastercard.Thank you! APPLY FOR FURNACE REBATE
