Manual Rebate Check Form Name(Required) First Last Email(Required) Are you a Priority Group Household?(Required) Government Concession Card Rent under $400 per week Non-Priority Group (none of the above) Appliance Type Fridge Freezer Freezer Heat Pump Dryer Appliance BrandAppliance Model NumberNotes or Comments Sign up to our mailing list to receive the latest energy and money-saving offers in your inbox! Δ