HOW TO APPLY FOR YOUR

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2 HOW TO APPLY FOR YOUR CUSTOMER INFORMATION: REBATE: 1) Purchase CFL and LED bulbs and fixtures that meet our minimum efficiency requirements. 2) Fill out the information on this page and the inside of this rebate booklet. 3) Include sales receipt and the portion of the packaging showing the manufacturer, ENERGY STAR logo (if required), bulb wattage, and number of bulbs or fixtures. 4) Return this completed rebate booklet and required documentation to your utility (see back). Account Name Doing Business As (if different from Account Name) Installation Address City State Zip Code Mailing Address (if different from above) (rebate check will be mailed here) City State Zip Code Account Number o Send us a rebate check. o Apply rebate to our account. (Rebates $75 and under will be applied to account.) Contact Name (rebate check will be mailed to contact) Contact Signature (required to receive rebate) Daytime Phone Type of Business: o Church o Government o Grocery o Health o Industrial o Lodging o Multi-family o Office o Restaurant o Retail o School o Other How did you hear about CONSERVE & SAVE? o Billboard o Chamber of Commerce o Contractor o Newspaper o Radio o Retailer/Vendor o TV o Utility Mailing o Utility Newsletter o Utility Representative o Utility Web Site o Other o Check here if you DO NOT give us permission to use your business name in advertising our CONSERVE & SAVE programs.

3 COMPACT FLUORESCENT BULBS (CFL) & CFL HARDWIRED FIXTURES Fixture must only accept pin style CFL lighting. REBATE: see tables below A B C D E F G H I Bulb/Fixture Type New Bulb/Fixture Code # Rebate per Qty. Annual Hours Is This Space Total Price Total Rebate#* Bulb or Fixture# * (check one see list below) Wattage (see tables) of Operation Air Conditioned? (without tax) (D x J) (see tables) o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 o 1 o 2 o 3 o 4 o 5 REMEMBER TO PROPERLY RECYCLE YOUR CFLS! CONTACT YOUR UTILITY FOR RECYCLING OPTIONS. # For fixture wattages greater than 50 or multi-cfl fixtures, please contact your utility for codes and rebate amounts. * Rebate cannot exceed cost of bulb or fixture. OFFICE USE ONLY Rebate Total: CFL FIXTURE TYPES LIST (MUST BE ONE OF THESE TYPES TO QUALIFY FOR REBATE): 1) Hardwired CFL fixtures (no portable or table lamps) 2) Torchieres 3) Ceiling fans with pin style CFL lighting 4) Pin style CFL light kits for ceiling fans 5) CFL Bulbs CFL BULBS REBATE TABLE: Description Retrofit Code & Rebate New Construction Code & Rebate 3 20 Watt CFL 1272 $4.50 per Bulb 1273 $2.25 per Bulb Watt CFL 1274 $6.75 per Bulb 1275 $3.50 per Bulb Watt CFL 1276 $9.00 per Bulb 1277 $4.50 per Bulb Watt CFL 1278 $14.00 per Bulb 1279 $7.00 per Bulb Watt CFL 1280 $16.00 per Bulb 1281 $8.00 per Bulb Watt CFL 1282 $19.00 per Bulb 1283 $9.50 per Bulb 180 Watt CFL 1284 $19.00 per Bulb 1285 $9.50 per Bulb CFL FIXTURES REBATE TABLE: Description Retrofit Code & Rebate New Construction Code & Rebate 3 10 Watts Total 1253 $8.00 per Bulb 1252 $3.00 per Bulb Watts Total 1255 $8.00 per Bulb 1254 $3.75 per Bulb Watts Total 1257 $18.00 per Bulb 1256 $4.00 per Bulb Watts Total 1259 $18.00 per Bulb 1258 $5.00 per Bulb Watts Total 1261 $18.00 per Bulb 1260 $5.00 per Bulb Watts Total 1263 $24.00 per Bulb 1262 $8.00 per Bulb Watts Total# 1265 $24.00 per Bulb 1264 $8.00 per Bulb 2

4 LED BULBS & FIXTURES ENERGY STAR & DESIGNLIGHTS CONSORTIUM QUALIFIED For non-energy STAR and non-designlights Consortium Qualified LED bulbs and fixtures use page 4. Must include packaging with ENERGY STAR or DesignLights Consortium logo and bulb or fixture wattage. REBATE: see table below OLD EQUIPMENT NEW EQUIPMENT A B C D E F G H I J K L Old Bulb/ New Bulb/Fixture New Bulb/ New Bulb/ Code Annual Is This Total Rebate per Total Old Bulb/Fixture Fixture Manufacturer Fixture Fixture (see Qty. Hours of Space Air Price Bulb/Fixture* Rebate* Description Wattage Name Model Number Wattage table) Operation Conditioned? (without tax) (see table) (G x K) OFFICE USE ONLY Rebate Total: * Rebate cannot exceed cost of bulb or fixture. ENERGY STAR QUALIFIED LED BULBS & FIXTURES REBATE TABLE: Description Retrofit Code New Construction Code Rebate per Bulb or Fixture* ENERGY STAR BULBS: 10 Watt or less CHOOSE GREATER REBATE: $15 OR $0.24 per watt saved ENERGY STAR BULBS: Greater than 10 Watt CHOOSE GREATER REBATE: $20 OR $0.24 per watt saved ENERGY STAR FIXTURES: All CHOOSE GREATER REBATE: $30 OR $0.24 per watt saved DESIGNLIGHTS CONSORTIUM QUALIFIED LED BULBS & FIXTURES REBATE TABLE: Description Retrofit Code New Construction Code Rebate per Bulb or Fixture* DESIGNLIGHTS CONSORTIUM BULBS OR FIXTURES $0.275 per watt saved 3

5 LED NON-ENERGY STAR & NON-DESIGNLIGHTS CONSORTIUM QUALIFIED BULBS & FIXTURES REBATE: $0.24 per watt saved OLD EQUIPMENT NEW EQUIPMENT A B C D E F G H I J K L Old Bulb/ New Bulb/Fixture New Bulb/ New Bulb/ Code Annual Is This Total Rebate per Total Old Bulb/Fixture Fixture Manufacturer Fixture Fixture (see Qty. Hours of Space Air Price Bulb/Fixture* Rebate* Description Wattage Name Model Number Wattage table) Operation Conditioned? (without tax) (B E) x $0.24 (G x K) * Rebate cannot exceed cost of bulb or fixture. OFFICE USE ONLY Rebate Total: NON-ENERGY STAR & NON-DESIGNLIGHTS CONSORTIUM QUALIFIED LED BULBS & FIXTURES CODES: Description Retrofit Code New Construction Code NON-ENERGY STAR & NON-DESIGNLIGHTS CONSORTIUM BULBS or FIXTURES

6 IMPORTANT NOTES ON REBATES: The rebate cannot be combined with any other offer nor exceed the price of the bulb, package, or fixture. Rebates $75 and under will be applied to your account. Recipients must be an electric customer of Austin, Owatonna, or Rochester Public Utilities. All applications from the previous year s purchases must be received by March 31. Allow 6-8 weeks for processing. This rebate offer can be withdrawn at anytime without notice. Return this completed rebate booklet, sales receipt, and the portion of packaging showing the manufacturer, ENERGY STAR label (if required), bulb wattage, and the number of bulbs or fixtures to your utility: Austin Utilities Attn: Rebate Processing 400-4th Street NE Austin, MN Owatonna Public Utilities Attn: Rebate Processing P.O. Box 800 Owatonna, MN Rochester Public Utilities Attn: Rebate Processing 4000 East River Road NE Rochester, MN When purchasing any type of appliance or equipment, look for the ENERGY STAR logo! PLEASE PRINT ON RECYCLED PAPER 0513web