Identification of the participant Address (where work will take place) ProvinceAlberta*British ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Information about the smart thermostat Please consult the list of admissible smart thermostats. Manufacturer, brand and model of the smart thermostat Does your smart thermostat also control a heat pump?* YesNo Please provide the following information. Does your smart thermostat also control an air conditioner?* YesNo Please provide the following information. The smart thermostat will replace*: A programmable thermostatA non-programmable thermostat Please upload the equipment invoice Equipment installation date (YYYY/MM/DD)* Financial assistance details $100 in financial assistance will be applied to an upcoming Gazifère invoice. Please allow 3 to 4 weeks. I understand that the personal information provided when filling out the online form is only used and necessary to receive Gazifère’s services, to participate in the programs, or to respond to my enquiry, and in accordance to Gazifère’s privacy policy. 3957
