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Citizens Westfield Gas Rebate Application

Customer Information


 
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Location of Installation


 
 
 

 

Installing Contractor


If self-installing, a home inspection may be required.
 
 
 

 

Proof of Purchase


Please upload a copy of your contractor's itemized invoice or reciept if self-installing. If you take a picture, please make sure the document is well lit and in focus.

 

Mailing Address for Rebate Check


 
 
 

 

Product Information


 
 
 
(optional)
 
 
 

Leave blank unless applying for a second rebate.

 

Terms and Conditions

By submitting this application you agree to the Citizens Westfield Gas Rebate Program Terms and Conditions.