Refrigerator Rebate Program
Your refrigerator is likely the biggest electricity user in your home. New efficient refrigerators can use half of the
electricity of older models. Upgrade today with the help of a rebate from the San Francisco Community Power
Cooperative and start saving on your energy bills.
REBATES
*Look for the yellow Energy Guide label at the store to see how much energy a refrigerator uses*
Rebate if
purchased at
94124 / 94107
store
Low-income rebate if
purchased at 94124
/ 94107 store
Rebate if
purchased outside
94124 / 94107
Low-income rebate
if purchased outside
94124 / 94107
0-400 kwh/year
$300
$500
$200
$450
401-500 kwh/yr
$250
$400
$150
$350
501-600 kwh/yr
$50
$100
$0
$50
601 kwh/yr or more
$0
$0
$0
$0
Refrigerator Energy
Use
Rebate may not exceed the delivered cost of the refrigerator
4 Steps to a Rebate:
1) Join the San Francisco Community Power Cooperative
2) Buy a new Energy Star refrigerator. Due to possible labeling errors, please make sure that your
refrigerator is Energy Star qualified by calling the Co-op, visiting www.energystar.gov or calling
1-888-STAR-YES. Only refrigerators that appear on the Energy Star list qualify for the rebate.
3) Recycle your old Refrigerator. Call Sunset Scavenger at (415) 330-1300 to arrange for a pick-up.
Refrigerators must be placed on the curb with the door removed or taped shut for safety by
6:00am the day of the scheduled pickup. Apartment building collection must be arranged through
building manager. Ask Sunset Scavenger for a confirmation number when you call.
4) Complete and send in this application with purchase receipt and low-income verification form
(if applicable) within 30 days of purchase to:
Refrigerator Rebate
SF Community Power Cooperative
1307 Evans
San Francisco, CA 94124
Questions? Call the Co-op at 415-550-7155
Refrigerator Rebate Application
*Please attach your purchase receipt*
Name
Cooperative Member Number
Phone Number
Address
City
State
Zip
New Refrigerator
Brand Name
Model Number
Description
Store
Name
Phone Number
Address
City
State
Zip
Recycling
Confirmation number from Sunset Scavenger
Approximate Age of Old Refrigerator in Years
Old Refrigerator Make
Signature
Model
Serial Number
Date
Rules:















Program starts April 26, 2003 and ends August 31, 2003, or when program funds are exhausted.
Program is first-come, first-serve, while funds last.
To qualify you must be a residential Co-op member living in 94124 or 94107 zip codes.
Limit one rebate per residential Co-op Member.
Refrigerator must be purchased for the Co-op member’s household.
Refrigerator must be new and Energy Star rated based on current Energy Star listing. Call the Co-op, visit
www.energystar.gov or call 1-888-STAR-YES to check if a specific model qualifies.
Old refrigerator must be recycled with Sunset Scavenger. Call 415-330-1300 to schedule pickup.
Old refrigerator may not be sold, used by another person, or used by the customer as a second refrigerator.
Rebate may not exceed the delivered cost of the refrigerator.
Customer must complete and return an application with purchase receipt and low-income qualification form.
Application must be submitted within 30 days of purchase.
Application must be postmarked by September 30, 2003.
San Francisco Community Power Cooperative must receive proof of recycling from Sunset Scavenger.
San Francisco Community Power Cooperative reserves the right to accept or reject any application.
San Francisco Community Power Cooperative is not responsible for applications lost or delayed by mail.
Affidavit for Low-Income Eligibility for
San Francisco Community Power Cooperative Refrigerator Rebate
I, the undersigned, hereby declare that the following statements are true and correct, based on
my personal knowledge:
1) I am an authorized representative of the household of the owner or a tenant of the home
or residential unit located at _________________________(address) San Francisco, CA
______ (zip code).
2) The size of our household is ________ persons.
3) The total annual income of our household last year was approximately
$__________________.
4) The annual income of our household does not exceed the maximum income for our
household size as stated on the following table:
Household Size
Maximum Income
1
$38,450
2
$43,900
3
$49,400
4
$54,900
5
$59,300
6
$63,700
7
$68,100
8
$72,450
5) I understand that the San Francisco Community Power Cooperative will rely on this
Affidavit to issue the Refrigerator Rebate.
6) I declare under penalty of perjury under thee laws of the state of California that the above
statements are true and correct.
Signature
Printed Name
Date