ND Residential Energy Efficiency Rebate Program Application Form
ALL FUNDS HAVE BEEN DEPLETED

All information, with the exception of an email address, must be provided to apply for the rebate. The information MUST be correct, you will not be given an opportunity to change your application once you leave this page.
First Name:
Last Name:
Address:
City:	Zip:
Phone:
Email Address:
There are two product categories: Water Heater and Furnace/Boiler. You may apply for a rebate for one or for both categories.
Water Heater:	None Tankless - $250
Storage (EF>=.62) - $50 Storage (EF>=.67) - $100
Click this buttonto clear furnace/boiler selection from below
Furnace:	Tier 1 ($200) Tier 2 ($400)
Boiler:	Tier 1 ($200) Tier 2 ($400)