• Application for Incentive Rebate

  • I. WE HEREBY CERTIFY THAT WE HAVE MET THE REQUIRED PAYMENT SCHEDULE OUTLINED IN SECTION II OF THE INCENTIVE REBATE POLICY AND HAVE PAID TO OEA AT LEAST 50% OF OUR TOTAL ANNUAL OBLIGATION BY MARCH 15. WE ALSO UNDERSTAND WE MUST CONTINUE TO PAY ACCORDING TO OUR STATEMENT IN ORDER TO QUALIFY FOR OUR SECOND INSTALLMENT.

  • Attestation to the above statement: Please enter your name.

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  • II. WE ARE APPLYING FOR A REBATE IN THE FOLLOWING CATEGORIES (PLEASE CHECK THOSE THAT ARE APPLICABLE).

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  • CATEGORIES - If you selected a category above you MUST complete the corresponding section below.

  • J. LOCAL OFFICE, AVAILABLE TO OTHER LOCALS FOR ASSOCIATION MEETINGS (if not do not have a local office please place NA in the information below)

  • III. CERTIFIED BY:

    AFFILIATE INFORMATION:

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  •  -  - Pick a Date
  • ***APPLICATION DEADLINE MARCH 20TH***

  • Should be Empty: