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Important! You must
recycle your old refrigerator with our recycler. Call 510-748-3949
to schedule a pick up.
Due to possible labeling errors, please verify that the refrigerator you are buying
is Energy Star ® qualified by calling:
1-888-STAR-YES (toll free), or
510-748-3949, or
Check the Energy Star website:
http://www.energystar.gov/index.cfm?c=refrig.pr_refrigerators
Only refrigerators that appear on the Energy Star list qualify for the rebate.
Please print this page and mail the completed application along
with your sales receipt to:
Alameda Power & Telecom
P.O. Box H
Alameda, CA 94501
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| To be completed by the customer: |
| Name: |
_________________________________________ |
| Address: |
_________________________________________ |
| Phone No.: |
_________________________________________ |
| Account No.: |
_________________________________________ |
|
I agree to abide by the rules of Alameda Power & Telecom's
Efficient Refrigerator Rebate and Recycle Program. I will not
re-use, sell, or give away my existing refrigerator. My existing
refrigerator must be picked up at my home by Freon Free to be
properly recycled. I attest that the qualifying new refrigerator
is for personal use in Alameda Power & Telecom's service area
and will not be resold. |
| Signature: |
_________________________________________ |
| Date: |
_________________________________________ |
| To be completed by
the retailer: |
| Store: |
_________________________________________ |
| Address: |
_________________________________________ |
| Phone No.: |
_________________________________________ |
| Brand: |
_________________________________________ |
| Model No.: |
_________________________________________ |
| Date Purchased: |
_________________________________________ |
|
I agree to abide by the rules of Alameda Power &Telecom's
Efficient Refrigerator Rebate and Recycle Program. I attest the
above refrigerator was purchased at the above store and the customer
was given a sales receipt stating the date of purchase. I will
not accept the customer's existing refrigerator. The existing
refrigerator must be picked up and recycled by Freon Free. |
| Signature: |
_________________________________________ |
| Date: |
_________________________________________ |
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