City of Shasta Lake Commercial Vending Machine Controller Rebate

Offered to City of Shasta Lake commercial customers for the purchase of a new Vending Machine Controller.

This application should be submitted within six (6) months of the purchase or installation date.

Rebates are limited to 75% of the product’s total cost.

Before you get started

Paid as a check sent to the customer’s mailing address.

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Utility Name

Date of Installation*

Total Project Cost*

Upload Documents*

Please upload any required documents outlined at the top of this page.

Drop files here or

Max. file size: 128 MB.

Company Name*

Your Name (Contact Person)*

First Last

Contractor Name*

Contractor License Number*

Installation Address*

Street Address City State ZIP Code

Utility Account Number (if known)

Your Email*

Enter Email Confirm Email

Your Phone*

Do you use a different postal mail address?*

Yes

Mailing Address*

If the rebate is paid with a check, it will be mailed to this address.

Street Address City State ZIP Code

Notes

Please include a brief description of your project along with any notes or additional information.

Applicant Release*

I have read and understand this application, including the Terms and Conditions linked at the end of this form.

I certify that the information I have provided in this application is true and correct.

Allow 8 to 10 weeks to receive the rebate, if all qualifications are met.

Last Update: 9/1/23