Promotion Claim Form

Customer Details

Please complete the contact details of person claiming the promotion claim and the your bank details where you would like Rheem to transfer the $150 Cash Back promotion claim. 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.*
Invalid Input

(if different to the mailing address) Including suburb, state, and postcode.

ELECTRONIC FUND TRANSFER

Please ensure that the banking details are correct. Rheem will not be responsible for incorrect details once the electronic funds transfer has been done.
Acc Holder*
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Bank Name*
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Acc Number*
Invalid Input

Bank BSB*
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Solar System Details

Solar System:
eg.52L300/2NPT*
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System Serial 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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Are you Human?*
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