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2. NOTE: Submitting this document electronically will require you to upload printable rebate application along with sales invoice(s).  Please do not send sensitive information, and have documentation ready to upload so page does not time out.

4. 
6. Rebate Policy
   2024 Commercial New Lighting Rebate (PDF)

   Check out the Rules and Application Process on the printable rebate application (PDF) to make sure you qualify for this rebate before filling out the form.

8. Check this box to acknowledge that you have read and agree to our Rebate Policy..*

   1. Yes
10. Rebate Program Term:*

    Is the invoice/receipt dated within the last twelve (12) months?

    1. Yes
    2. No. Sorry, does not qualify for rebate.
12. Is installation complete?

    1. Yes
    2. No. Sorry not yet eligible for rebate.

    Equipment must be installed and project complete before applying for rebates.

16. Rebate Contact Information

    Contact Name, email address, and phone number will be required for the selected contact.  Re: AMU Customer Information and Purchase Information categories above.

18. Person to contact for questions and reply*

    1. Customer Contact
    2. Vendor Contact
    3. Other
20. Customer Contact*
22. Customer Contact Email*
23. Customer Contact Phone*
25. Vendor Contact*
27. Vendor Contact Email*
28. Vendor Contact Phone*
30. Contact Name*
31. Contact Affiliation*

    Relation to this rebate project.

33. Contact Email*
34. Contact Phone Number*
38. Anoka Municipal Utility (AMU) Customer Information

    The business must have an address that is serviced by Anoka Municipal Utility (AMU). This also must be the location where the equipment is installed for the rebate.

40. Business Name*
44. Purchase Information
46. Vendor Name*
48. Upload Your Invoice(s)*

    Invoice (s) submitted must include itemized quantity, price, manufacturer’s make and model numbers, and product codes for each material item and/or original equipment manufacturer (OEM) specification sheets. 

    The customer must notify the Utility and submit invoices specifying the quantity and price of all materials purchased, the date ordered, installation costs and applicable taxes. The invoices should also contain the contractor’s name and address as well as the customer’s name and installation address. 

52. Rebate Application
54. Upload Signed and Completed Rebate Application (PDF)*

    Please do not include account numbers or other sensitive information on the online application.

56. Rebate Application
    Commercial New Lighting Rebate Application (PDF)
60. Disclaimer & Signature
62. Check this box to agree to the following:*

    1. I certify that all the information provided is accurate including claims of efficiency, size and customer information. I agree that AMU may verify all the information I have provided.
66. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
68. Electronic Customer Signature*

    *Must have an AMU account holder name here.  Any other name not listed on the utility bill will result in rejection of this rebate application.

Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit Submit and Print

* indicates a required field