Res Energy Audit Rebate Application

Residential Energy Audit Rebate Incentive Program MichCon Pilot Program 2008-2009 APPLICATION Homeowner Name: Street Address: City: Mailing Address if Different – Street: City: Telephone: MichCon Account Number: Energy Auditor: Audit Date: Describe Energy Efficiency Measure Installed:

State:

Zip:

State: e-Mail:

Zip:

Date Measure(s) Installed:

Signature: Date: MichCon Rcvd Date:

MichCon Action:

Complete this Form and e-mail with a PDF copy of the Energy Audit to: Bob Fegan, DTE Energy/MichCon Program Manager at [email protected] and/or Mail hard copies to the address below.

Application MUST include: 1. This completed Form 2. Hard copy or Electronic copy of Energy Audit in PDF file format 3. Photocopy of Proof of Purchase/installation of Energy Efficiency Measure; photocopies may be mailed to Bob Fegan, DTE Energy/MichCon, 4420 44th Street SE Suite B, Grand Rapids, MI 49512, or faxed to 616-954-4574 with a Cover Page ‘Attention Bob Fegan”. Electronic submissions may be made to the above e-mail address.

April 2008