Minnesota Power Appliance Recycling Request Form

Eligibility requirements:

✔ Must be a Minnesota Power customer.

✔ Appliances eligible for recycling: Refrigerators, Freezers. Complimentary pickup of Window Air Conditioners, Dehumidifiers and Mini Fridges when coupled with a refrigerator or freezer pickup.

✔ Appliance(s) must be in working condition.

✔ Appliance(s) must be empty, clean and defrosted.

✔ Appliance(s) must be accessible with a clear and safe path for removal.

✔ Water line must be disconnected prior to pickup.

✔ Appropriate physical pickup address must be provided.

✔ Maximum of 2 large appliances per calendar year for residential customers. Business and Multifamily customer requirements vary.

*Required fields. Please avoid using characters (e.g., $,&,#) in all fields.

Utility Account Information

Enter first and last name of primary account holder as it appears on your Minnesota Power bill.

Minnesota Power Account Number (No dashes)

Applicant Information

If different than Minnesota Power primary account holder.

Pickup Address

Street Address Street Address Line 2

Appliance Information

Appliance type

Note: In order to qualify for window air conditioner, dehumidifier or mini fridge pickups, you must also recycle an eligible refrigerator or freezer.

Refrigerator Type - Check all that apply

Top freezer

Bottom freezer

Side-by-side

Single door

French door

Number of refrigerators 1 2

Freezer Type - Check all that apply

Upright

Chest

Number of freezers 1 2

Number of window air conditioners 1 2

Pickup information

Appliance location(s)

Rebate Mailing Address

Rebate check will be issued to the primary account holder listed on your Minnesota Power bill.

Is the Mailing Address the same as the Pickup Address? Yes No

Rebate address

Street address Street Address line 2

City

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP Code

What is your occupancy status? Rent Own


How did you hear about Minnesota Power's Appliance Recycling Program? ^? Word of Mouth (Friend/Neighbor/Coworker) Web Search Utility Bill Insert or Direct Mail Appliance Retailer/Store Utility Representative Utility Website E-Mail Energy Auditor Past Participation Other

Please choose which aspect most influenced your decision to participate in this program.^? Needed to get rid of my appliance Free pickup service Rebate for recycling Savings on electric bill Environmental Benefit Energy Conservation

Terms and conditions