Cashback Claim Form


Customer Details

Please complete the contact details for the person claiming the $400 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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