Account Details Business Name First & Last Name SaskEnergy Account Number? 11-digits Phone Email Building & Equipment Information Service Address Must match the service address indicated on your SaskEnergy bill/account City/Town Size of Facility (in square feet) Primary Use of Building Examples: office, manufacturing, restaurant, etc. Boiler Input Rating (in BTU/hr) Estimated Age of Boiler (in years) Installation Details Amount of Endotherm Additive Purchased (in gallons) Date of Installation Who completed the install? Hydronic Additive Dealer (Pace Solutions) Plumbing & Heating Contractor Water Treatment Specialist Self Company Name Contact Name of the Installer Phone Attachments Attach Invoice(s) Maximum 3 files.10 MB limit.Allowed types: GIF, JPG, JPEG, DOC, DOCX, BMP, PDF, PNG, PPT, PPTX, XLS, XLSX, VSD, DWG, DXR, DWF, TIF, TIFF. Acknowledgement By selecting "I agree", you acknowledge and agree the information provided is accurate and complete; are an authorized agent to make this request; acknowledge and agree that SaskEnergy may share this information with an Authorized Dealer in respect of the Rebate Program; acknowledge and agree to being contacted by SaskEnergy or an authorized third party in order to conduct survey(s) regarding the provision of natural gas services or to follow-up with respect to the provision of natural gas services or the equipment or product installed; acknowledge and agree to the use, collection, storage and retention of your personal information, and any other information you provide with this form in accordance with our Privacy Policy and Terms & Conditions of Service Schedule, as applicable. I agree Math question 1 + 8 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
