Energy Star Coupon

SAVE 15 $

REDEEM THIS COUPON FOR $15 OFF the purchase of a hard-wired, indoor or outdoor Energy Star qualified fluorescent fixture.

ONLY AVAILABLE TO SALEM ELECTRIC RESIDENTIAL MEMBERS

For more information on Energy Star products, visit energystar.gov.

Applies to Energy Star qualified hard-wired lighting products only. Portable fluorescent fixtures are not eligible. Program is funded annually, please contact our office to verify the availability of funds.

S A L EM EL ECT R I C • P O BOX 558 8 • 6 3 3 SEVENTH STREET NW • SALEM , OR 9 7 3 0 4 -0 0 5 5 PH: 503 362-3601 • FAX: 503 371-2956 • E-MAIL: [email protected] • salemelectric.com

SAVE 15 $

on the purchase of a hard-wired, indoor or outdoor Energy Star qualified fluorescent fixture (See reverse side for details)

Salem Electric Member Name: _ __________________________________________

TOTAL FIXTURE COST: $_ _____________________

Street Address: ____________________________________________ TOTAL REBATE: Address To Be Credited: _____________________________________ City: _________________________________ Zip: ________________

$_ _____________________ $15 per fixture. Not to exceed 50% of total cost.

u Number of hard-wired Energy Star fixtures purchased___________ u Store where purchased_ __________________________________ u Building Type:

Single Family

Multi-Family: #_____ Units

u Installation:

Interior

Exterior

u $15 rebate per fixture will be credited to your account.

RETURN THIS COUPON, WITH RECEIPTS TO: Salem Electric PO Box 5588 Salem, OR 97304 ONLY SALEM ELECTRIC RESIDENTIAL MEMBERS ARE ELIGIBLE.

FOR OFFICE USE ONLY

QUALIFIES FOR REBATE:

___________________________________________________________

________________________________________

VERIFICATION/DATE

ACCOUNT NUMBER

___________________________________________________________

$_ ______________________________________

AUTHORIZATION/DATE

TOTAL REBATE

n YES

FIND THIS FORM ON OUR WEBSITE, salemelec tric.com AND SELECT “MEMBER SERVICES.”

n NO

1000/P50/4.08