GEUS Savvy Consumer

Energy Efficiency Program Application

For My Home
For My Business
First Name: *
Middle Initial:
Last Name: *
Business/Organization:
Address: *
Zip: *
Home Phone: Required for Homeowner
Business Phone: Required for Business
Cell Phone:
Email:
Preferred contact by: *	Home Phone Business Phone Email Cell
Best time to call: *	AM PM
How did you hear about Savvy Consumer?	Print Ad TV Radio Website Referral
Referred by:
Comments
I Plan to participate in:	( program details)
Appliance Rebate	Any vendor acceptable as long as appliance meets requirements.
Attic Insulation Cost Share	Prefered Attic Insulation Provider No Preference Tri-County Insulation
Thermostat Rebate	Preferred Thermostat Vendor No PreferenceA/C Brokers, LLCDuncan ElectricalGreenville Heat & AirKen Parker Service, Inc.Leeco Air ConditioningForbes Air & Heating
Lighting Rebate	Preferred Lighting Provider No Preference Duncan Electric Contractors Greenville Heat & Air, Inc. Moore Electric Services
Water Heater Clock Rebate	Preferred Water Heater Clock Vendor No Preference Duncan Electric Contractors Greenville Heat & Air Moore Electric Services
Verification: you must enter the verification letters and numbers into the box *

GEUS is happy to provide a list of approved vendors. There is no implied warranty by GEUS for work performed and/or satisfaction to our mutual customer. All work and billing transactions are between the GEUS customer and his/her chosen contractor. This program can be modified and/or canceled at any time by GEUS.