Firelake Complete System Rebate

$200 Rebate Form
Congratulations! Your purchase of a Firelake waste oil heating system qualifies you to receive a manufacturer’s rebate. Please fill out the fields and submit your responses by pressing the button below.
Select your model
Unit ID #
Full Name

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
Details: To be eligible, the Dealer must order by October 19, 2015, and End-User must purchase by November 30, 2015.
Should be Empty:

$200 Rebate Form