Efficient Construction Grant Application

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1

Primary Application Contact

Affiliation with Applicant Building Owner*

Other*

Affiliation with Applicant Building Owner

Company/Developer Name*

Name*

First Last

Title

Email*

Enter Email Confirm Email

(Used to send status updates regarding this application)

Opt-in for PGW EnergySense updates

Yes

I'd like to learn more about PGW's EnergySense programs and offers.

2

Applicant Information

Company/Developer Name*

Name*

First Last

Title

Email

Email*

Enter Email Confirm Email

(Used to send status updates regarding this application)

Opt-in for PGW EnergySense updates

Yes

I'd like to learn more about PGW's EnergySense programs and offers.

Phone

Phone*

Mailing Address

Street Address City State ZIP

(Your rebate check will be mailed to the address provided in these fields.)

3

Project Description

Project Address is different than the Mailing Address

Yes

Project Address

Street Address City State ZIP

(Required if different than the mailing address)

Project Name

Project Type*

Building Type*

Do You Need Assistance Establishing Gas Service?

Heating Fuel

Water Heating Fuel

Estimated Construction Start Date

Estimated Construction Completion Date

Above Code MMBTU Percentage Savings Estimate

Building Energy Model (if available)*

Select "None" if no building energy model is available.

Other*

Building Square Footage

Project Description (Optional)

4

Project Information Sharing

PGW is proud of the work done by its customers to make energy conservation a goal and, in some cases, would like to share the details about Efficient Construction Grant projects for:

Press and media purposes, including but not limited to press conferences and press releases
Case studies that PGW will share through email and its website, in presentations, and on printed flyers

Check here if you do not approve of us utilizing your project information for the above purposes.

I don't approve

5

How Did You Hear About Us

How did you hear about PGW rebates?*

Please Specify*

If you selected Trade Organization, Supplier/Distributor, Community Event, or Other, please specify the name of the organization or event here.

I agree to the Terms & Conditions.*

Yes, I understand and agree to the terms and conditions.

To read the terms & conditions click here.

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