ENERGY STAR® Window-Unit A/C Incentive Program Application

Important: Unit must be new and application must be submitted within six (6) months of purchase and installation.
A copy of itemized invoice/receipt must be attached.

Eligibility Requirements
1. Applicant must be PWC residential TOU electric customer in good standing to qualify
2. Applicant must be account holder of record where appliance is installed; renters do qualify
3. Applicant may be renter
4. Applicant must apply for bill credit within six (6) months of purchase and installation date
5. Appliance must be ENERGY STAR certified
6. Customer is eligible for bill credit up to $75 for one (1) qualifying unit
7. Applicant must submit all paperwork required of this Program (email: customer.programs@faypwc.com)
8. Applicant must agree to Terms and Conditions of this Program

Account Number
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Is text available?

Is text available? Yes No
Email
Are you an owner or renter?

Are you an owner or renter? Owner Renter
Is it ENERGY STAR® certified?

Is it ENERGY STAR® certified? Yes No
Proof of purchase

Attach Files
ENERGY STAR® certification

Attach Files
I have read, understand, and agree to the Program Terms and Conditions, disclaimers, limitations of liability and release as it pertains to this Program. I declare under penalty of perjury of the laws of the State of North Carolina that all of the information provided herein is true to the best of my knowledge. I hereby certify that I am the authorized account holder at the address listed above.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.