Appliance Incentive Request Form

You may fill out the web form below or download and fill the PDF form and mail with supporting documentation to:

1700 West Broadway
Missoula, MT 59808

Appliance Incentive Request Form (PDF)

To File for Your Incentive

Applicant must have an active account with Missoula Electric Cooperative.

    1. Purchase a qualifying appliance and apply for the incentive within six months of purchase.
    2. Upload the following documentation along with the form:
      • Copy of sales receipt showing appliance model number(s) and quantity.
      • Proof of ENERGY STAR listing of appliance.

Missoula Electric Cooperative will credit the amount of the rebate to your MEC account when a qualifying ENERGY STAR® appliance is purchased and installed in our service area. If you have questions about which models qualify, ask your retailer, call Missoula Electric Cooperative or visit the ENERGY STAR website for a complete list of qualifying models. Qualifying models are subject to change.

  • Qualifying ENERGY STAR Clothes Washer: $20–$50 Rebate
  • Qualifying ENERGY STAR Clothes Dryer: $50 Rebate

Questions? Call (406) 541-4433.

Form

  • Drop files here or
    Accepted file types: gif, png, pdf, tif, tiff.
  • I certify that the appliance(s) listed above were purchased for installation at the above address. I agree to allow a representative of Missoula Electric Cooperative to verify the installation of the appliance(s) in the home if necessary. I acknowledge that this incentive program is a limited offer and is subject to change.

  • Date Format: MM slash DD slash YYYY