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2. Note:
   This form will be e-mailed to the utility shop office personnel who handle and approve rebate forms. For billing questions and concerns, or to check status of a rebate check or credit on account, please use the "Contact Utility Billing Department" form, or call them at 763-576-2750 ext. 3 for a representative. Fields marked with asterisk * are required.
4. First Name*
5. Last Name*
7. Email Address*
8. Phone Number
10. Service Address
12. City
13. State
14. Zip Code
16. Rebate Question*
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field