Cashback Claim Form


Customer Details

Please complete the contact details for the person claiming the Cash Back. Rheem will not use this information for marketing purposes, nor will it be provided to third parties.

Title:
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First Name:*
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Last Name:*
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Customer Address:*
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Suburb:*
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Postcode:*
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State or Territory:*
Phone Number:
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(include area code)
Email Address:*
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Installation Address:
(if different to the mailing address)
Including suburb, state, and postcode.
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(if different to the mailing address) Including suburb, state, and postcode.

Solar System Details

Solar System:
eg.52L300/2NPT*
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System Serial Number:*
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Electronic Funds Transfer

Please complete the below details to enable your Cash Back to be deposited directly into your bank account

Account Name:*
Please enter the account holders name where you want the EFT deposited.
Bank Name:*
Please enter the name of the bank where you want the EFT deposited.
Account Number:*
Please enter your Bank Account Number for the Cashback to be paid into.
BSB Number:*
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Rheem Solar Specialist Details

Business Name:*
Please enter the RSS Store whether you purchased your Rheem Solar Unit.
Invoice No:*
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Upload Copy Invoice:
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Please upload a copy of your invoice to verify your purchase.

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