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HOT DEALS!

To better understand our customers, and to serve Use this mail-in rebate form to
you better, we would appreciate your answers to the
following questions: Save $300 on an
ENERGY STAR qualified
House type where electric heat pump water heater will be used:
(Check all that apply.)
electric heat pump
$300 Rebates
Single Family Condo/Townhouse Multi-family
Own Rent Primary residence Vacation home water heater. on ENERGY STAR®
How many people live in the home?_ __________________

Get energized about energy efficiency!


Qualified Electric Heat
Why did you buy a new water heater?
(Check all that apply.) The BGE Smart Energy Savers ProgramSM offers a variety Pump Water Heaters
Replace broken unit of services and incentives to help you conserve energy,
New purchase (does not replace broken unit) manage costs, and protect the environment. Take
New home Upgrade to better unit Energy savings advantage of:
Remodeling Better performance
• Lighting Discounts: Get discounts up to $2.50 off
Approximately how old is the water heater you are replacing? select ENERGY STAR qualified compact fluorescent light
_____________________ (CFL) bulbs.
• Quick Home Energy Check-up: Customers can sign
What is the main reason you purchased an ENERGY STAR
qualified electric heat pump water heater? (Check one.) up for low-cost home energy check-ups that show how
to reduce energy use and save money.
Energy savings Rebate Best quality Best price
Size Quieter Environmental concerns Other • Heating and Cooling Tune-ups: Get a $75 rebate on
a diagnostic tune-up of your heating or cooling unit.
Have you previously purchased other ENERGY STAR qualified
products? Yes No Learn more at BGESmartEnergy.com or by calling
877.685.SESP (7377).
Did you know about the rebate before you purchased your Also Eligible for
ENERGY STAR qualified electric heat pump water heater?
Yes No
These programs are in support of the EmPOWER Maryland Energy Federal Tax
Credits
Efficiency Act. The $300 rebate is made possible by a grant from the
Maryland Energy Administration (MEA) funded by the American Recovery
and Reinvestment Act (ARRA).
Did the rebate influence your decision to buy? © Baltimore Gas and Electric Company 2010
Yes No
Printed on recycled paper using environmentally friendly inks.

How did you hear about ENERGY STAR qualified electric heat
pump water heaters? (Check all that apply.)
Brought to you by the BGE Smart Energy Savers ProgramSM. Brought to you by the BGE Smart Energy Savers ProgramSM.
BGE Web site Radio Newspaper ad
Retailer/salesperson Friend/relative/coworker
News report/article TV ad Online
Insert in utility bill Other
Get more and save more with a $300 Eligibility ELECTRIC HEAT PUMP WATER HEATER
mail-in rebate form. • Rebates for ENERGY STAR qualified electric heat $300 Rebate Form
When you choose an ENERGY STAR qualified electric heat pump water heaters are available to BGE residential Fill out completely. All information is required.
pump water heater, you’ll enjoy more than just energy electric customers regardless of energy supplier. Incomplete forms will delay or disqualify your rebate. Only
savings and outstanding performance—you can get $300 the BGE Account Holder can complete and sign this form.
back with the attached mail-in rebate from the BGE Smart • Limit one rebate per qualified electric heat pump
BGE Electric Account Number: ____________________
Energy Savers ProgramSM. water heater, per BGE residential electric account, on
Account Holder Name: ___________________________
purchases made beginning April 22, 2010, while funds
Account Address: _ _____________________________
are available. Rebates are provided on a first-come,
Save now and for years to come. ___________________________________________
first-served basis.
ENERGY STAR qualified electric heat pump water heaters City: ____________________  State: MD  Zip:________
can save the average household almost $300* per year • Rebate forms must be postmarked no later than 30 Home Phone:__________________________________
on its electric bills compared to a standard electric water days from purchase date. Work Phone (optional):___________________________
heater. Larger families that typically use more hot water Mailing Address (if different from above):
• Rebate application must be accompanied by proof of
could save even more. Although an ENERGY STAR qualified ___________________________________________
electric heat pump water heater costs more up front, the purchase (copy of sales receipt or invoice) listing the
City: ___________________   State: ___  Zip:________
savings can pay back the difference in about three years. BGE Account Holder’s name.
Replace your aging electric water heater before it fails, and Information on your new ENERGY STAR electric heat
• Qualified electric heat pump water heater must be pump water heater:
start enjoying the savings right away.
purchased in Maryland, or the buyer must have paid Brand: ____________________ Model #: ___________
applicable Maryland sales and use tax. Serial #:_ ____________________________________
A purchase that protects the Purchase Price: $ _ _________ Purchase Date: ________
environment. • Installations must comply with all federal, state, and
Name and address of store or contractor where purchased:
local code requirements.
If everyone buying an electric heat pump water heater this ___________________________________________
year chose an ENERGY STAR qualified model instead of • Qualified electric heat pump water heater must ___________________________________________
a standard model, we would avoid 19.6 billion pounds of replace an existing water heater at the installation By signing this form, I certify that I purchased the ENERGY STAR qualified electric heat pump
water heater noted above for the BGE service address above, and I am a BGE residential
electric customer. I am providing the requested information solely to be eligible to participate
carbon dioxide emissions. That’s the equivalent of taking 1.6 address listed in the rebate form. The water heater in BGE’s Smart Energy Savers ProgramSM and request that the personal information supplied
by me be treated as confidential to the maximum extent possible. I certify by my signature on
million cars off the road. being replaced shall no longer be operated at this application that the ENERGY STAR qualified electric heat pump water heater for which this
rebate application is submitted was purchased from a Maryland retailer or contractor, or I have
paid the applicable Maryland sales and use tax. I also certify that the new electric heat pump
For more ways to cut your energy use and save money the installation address listed on the rebate form, water heater replaced an existing water heater at the installation address listed herein, and that
the water heater being replaced shall no longer be operated at the installation address listed
nor reinstalled at another location in the BGE service territory.
from the BGE Smart Energy Savers ProgramSM, visit nor be reinstalled at another location in the BGE
BGESmartEnergy.com or call 877.685.SESP (7377). service territory. Signature: ___________________________________
Note: If this form is not signed, the rebate will not be processed.

Mail signed and completed form and copy of dated sales


receipt or invoice to:
*Source: ENERGY STAR
BGE ENERGY STAR Appliance REBATE
Attn: ICF Processing Center
11785 Beltsville Drive, Suite 241
Calverton, MD 20705
Please do not include rebate mail-in application form with
your BGE bill payment. Allow 6–8 weeks for processing.

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