Refrigerator Type - Check all that apply Top freezer Bottom freezer Side-by-side Single door French door Number of refrigerators 1 2 3 4 5 6 7 8 9 10+
Number of dehumidifiers 1 2 3 4 5 6 7 8 9 10+ Are all appliances listed here in working condition? Yes No Note: In order to qualify for pickup, appliance(s) must be in working condition. Please remove any appliances from this request form that do not work when plugged in. Total units: 0 Pickup information Appliance location(s) 1st floor Basement Curb Garage Other 2nd floor Porch Outbuilding Outside Rebate Mailing Address Rebate check will be issued to the primary account holder listed on your Minnesota Power bill. Please address any payment questions with your Customer Service Representative when we call you to schedule your pickup. 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 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 By submitting this request, I certify and represent that I am the owner of or the authorized representative of the owner of the listed appliance(s). I authorize my electric utility partner, CLEAResult, to remove my appliance(s) for recycling. I confirm that the appliance(s) meets utility requirements for participation in this program, including being in working condition, within the size requirements (refrigerators: 10-30 cu ft; freezers: residential-sized; window air conditioners and dehumidifiers: residential-sized; mini fridges: < 10 cu ft) and picked up at a location listed on the billing account.
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