PA Rebate Submission Form 2022 Spring Pennsylvania Customer Rebate If you need any assistance please call/text Victoria at 315-414-6824. Step 1 of 3 33% Consumer InformationName* First Last Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Diamond Contractor/Product Information       Company Name* Meier Supply Invoice Number* Has this equipment been registered with Mitsubishi Electric Heating & Cooling?* Yes No Date Installed* Month Day Year Equipment Location(If different from above)Is the equipment located at a different address than the one listed under "Consumer Information?"* Yes No Address Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code System 1Model #* Serial #* System 1 Type* Hyper-Heat single-zone heat pump system Multi-zone port type standard heat pump system Hyper-Heat port type multi-zone (MXZ-2,3) Multi-Zone requiring a Branch Box or SUZ H2i Single-Zone Ducted system P-Series (residential application only) Rebate for System 1 Price: Rebate for System 1 Price: Rebate for System 1 Price: Rebate for System 1 Price: Rebate for System 1 Price: Indoor UnitsClick the plus icon to add additional units.Model #Serial # Would you like to add another system? Yes No System 2Model # Serial # System 2 Type Hyper-Heat single-zone heat pump system Multi-zone port type standard heat pump system Hyper-Heat port type multi-zone (MXZ-2,3) Multi-Zone requiring a Branch Box or SUZ H2i Single-Zone Ducted system P-Series (residential application only) Rebate for System 2 Price: Rebate for System 2 Price: Rebate for System 2 Price: Rebate for System 2 Price: Rebate for System 2 Price: Indoor UnitsClick the plus icon to add additional units.Model #Serial # Would you like to add another system? Yes No System 3Model # Serial # System 3 Type Hyper-Heat single-zone heat pump system Multi-zone port type standard heat pump system Hyper-Heat port type multi-zone (MXZ-2,3) Multi-Zone requiring a Branch Box or SUZ H2i Single-Zone Ducted system P-Series (residential application only) Rebate for System 3 Price: Rebate for System 3 Price: Rebate for System 3 Price: Rebate for System 3 Price: Rebate for System 3 Price: Indoor UnitsClick the plus icon to add additional units.Model #Serial # Would you like to add another system? Yes No System 4Model # Serial # System 4 Type Hyper-Heat single-zone heat pump system Multi-zone port type standard heat pump system Hyper-Heat port type multi-zone (MXZ-2,3) Multi-Zone requiring a Branch Box or SUZ H2i Single-Zone Ducted system P-Series (residential application only) Rebate for System 4 Price: Rebate for System 4 Price: Rebate for System 4 Price: Rebate for System 4 Price: Rebate for System 4 Price: Indoor UnitsClick the plus icon to add additional units.Model #Serial # Would you like to add another system? Yes No System 5Model # Serial # System 5 Type Hyper-Heat single-zone heat pump system Multi-zone port type standard heat pump system Hyper-Heat port type multi-zone (MXZ-2,3) Multi-Zone requiring a Branch Box or SUZ H2i Single-Zone Ducted system P-Series (residential application only) Rebate for System 5 Price: Rebate for System 5 Price: Rebate for System 5 Price: Rebate for System 5 Price: Rebate for System 5 Price: Indoor UnitsClick the plus icon to add additional units.Model #Serial # Would you like to add another system? Yes No System 6Model # Serial # System 6 Type Hyper-Heat single-zone heat pump system Multi-zone port type standard heat pump system Hyper-Heat port type multi-zone (MXZ-2,3) Multi-Zone requiring a Branch Box or SUZ H2i Single-Zone Ducted system P-Series (residential application only) Rebate for System 6 Price: Rebate for System 6 Price: Rebate for System 6 Price: Rebate for System 6 Price: Rebate for System 6 Price: Indoor UnitsClick the plus icon to add additional units.Model #Serial # Would you like to add another system? Yes No System 7Model # Serial # System 7 Type Hyper-Heat single-zone heat pump system Multi-zone port type standard heat pump system Hyper-Heat port type multi-zone (MXZ-2,3) Multi-Zone requiring a Branch Box or SUZ H2i Single-Zone Ducted system P-Series (residential application only) Rebate for System 7 Price: Rebate for System 7 Price: Rebate for System 7 Price: Rebate for System 7 Price: Rebate for System 7 Price: Indoor UnitsClick the plus icon to add additional units.Model #Serial # Would you like to add another system? Yes No System 8Model # Serial # System 8 Type Hyper-Heat single-zone heat pump system Multi-zone port type standard heat pump system Hyper-Heat port type multi-zone (MXZ-2,3) Multi-Zone requiring a Branch Box or SUZ H2i Single-Zone Ducted system P-Series (residential application only) Rebate for System 8 Price: Rebate for System 8 Price: Rebate for System 8 Price: Rebate for System 8 Price: Rebate for System 8 Price: Indoor UnitsClick the plus icon to add additional units.Model #Serial # File UploadDocuments To Support Rebate*1) Meier Supply Invoice 2) Homeowner Invoice Drop files here or Select files Max. file size: 2 GB. Rebate Total $0.00 Δ