Thermostat Rebate Application

Your Name*

Email*

Phone Number*

Property Name*

Property Address*

City *

State*

Zip Code*

Name of Electric Utility Company?*

Average Monthly Electric Bill Cost?

How Many Guest Rooms?

Do You Need Replacement PTACs? (Y/N)*

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Here Is All We Need From You To Cash In On Your Rebate Credit

POB 2673 Huntington Station NY 11746

Required Rebate Forms

We Require The Following Documents To Submit Your Rebate Application:

Please Return All Completed Forms Via Email info@ptacenergysolutions.com or text to (631) 443-2050