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Get Residential Weatherization Program - T.i.p Rural Electric Cooperative

St Name Last Name Address Account Number City EQUIPMENT LOCATION INFO First Name State E-mail Address Check if same address as above: Last Name Address Zip Phone Phone Account Number City State Zip Key Program Requirements: (See all Terms and Conditions on back or separate sheet) E-mail Address Invoice Requirement: Invoice must be itemized with total costs shown for each installation type. Inform contractor of requirement prior to installation. Applies to upgrades on resident.

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