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SECOND REFRIGERATOR PICK-UP PROGRAM

APPLICATION

Please call (866) 964-7346 to


schedule your refrigerator
pickup.

Complete the Second Refrigerator Pick Up rebate application below and mail to:
Alameda Municipal Power Rebate Program, 3800 Watt Ave., Suite 105, Sacramento, CA
95821, or fax to (916) 609-5699, Attention: Alameda Pick-Up Program. Please allow 4-6
weeks for processing.

Name _______________________________________________
Address _______________________________________________
Zip Code _______________________________________________
Phone No. _______________________________________________
E-mail __________________________________________________
Send rebate to landlord

Landlord/Property Owner: ________________________________


Address: ________________________________________________
City, State & ZIP _________________________________________

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