Heating and hot water systems pre-qualification

Heating and hot water systems pre-qualification - $1,700 rebate

Date Date / MM / DD YYYY
Customer name Customer name First Last
Customer address Customer address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email address

Confirm Email Address
Are you planning on adding any outdoor appliances?

Are you planning on adding any outdoor appliances? Yes No
Please select the outdoor appliance(s) which you may add:
(Please note that only one outdoor appliance may qualify for a $300 rebate)

Please select the outdoor appliance(s) which you may add:
(Please note that only one outdoor appliance may qualify for a $300 rebate) BBQ Fire pit Patio heater Outdoor fire place Other Other
Before you begin
To help ensure you receive your rebate, please agree to the following:

• To qualify for a $1,700 rebate, I will be switching my existing oil, propane or wood primary heating system and purchasing and installing an eligible ENERGY STAR® natural gas heating system plus a natural gas water heating system, OR an eligible combination heat and hot water system.
• To qualify for a $300 rebate, I will install an eligible natural gas outdoor appliance.
• I will have a gas contractor licensed with Technical Safety BC install my heating system and hot water system, or my combination heating and hot water system.
• I will submit the completed online application form with all supporting documentation within 60 days of the installation date. A how-to guide is available at www.fortisbc.com/guide.
• I will comply with the program terms and conditions.

Before you begin
To help ensure you receive your rebate, please agree to the following:

• To qualify for a $1,700 rebate, I will be switching my existing oil, propane or wood primary heating system and purchasing and installing an eligible ENERGY STAR® natural gas heating system plus a natural gas water heating system, OR an eligible combination heat and hot water system.
• To qualify for a $300 rebate, I will install an eligible natural gas outdoor appliance.
• I will have a gas contractor licensed with Technical Safety BC install my heating system and hot water system, or my combination heating and hot water system.
• I will submit the completed online application form with all supporting documentation within 60 days of the installation date. A how-to guide is available at www.fortisbc.com/guide.
• I will comply with the program terms and conditions. By ticking this box, I agree to comply with the above program requirements and acknowledge that receipt of a pre-qualification code does not alone guarantee a rebate and additional terms and conditions apply. I acknowledge and agree that FortisBC is not responsible for any losses that I may incur as a result of my failure to fully comply with the eligibility criteria that are associated with this rebate program.
Emails from FortisBC

Emails from FortisBC I agree to receive emails from FortisBC Energy Inc. and FortisBC Inc. ("FortisBC") containing news and updates regarding the FortisBC Connect to Gas rebate program. You may withdraw your consent to receive such emails from FortisBC at any time by sending an email to connecttogas@fortisbc.com. FortisBC collects, uses and discloses your personal information in accordance with the Personal Information Protection Act (British Columbia) and FortisBC’s Privacy Policy.
I agree to receive emails from FortisBC Energy Inc. (“FortisBC”) containing news, updates and promotions regarding FortisBC’s products, services, programs and any associated business opportunities. You may withdraw your consent to receive such emails from FortisBC at any time. FortisBC collects, uses and discloses your personal information in accordance with the Personal Information Protection Act (British Columbia) and FortisBC’s Privacy Policy.