Dishwasher Instant Rebate Form, PSE

Please complete this form so Alteza can submit your claim to PSE. We will process your order(s) once you are approved by the PSE Foodservice Instant Rebates program.

***If you want multiple rebate eligible appliances or have multiple locations, please submit one form for each request***

First Name *

Last Name *

Email *

Phone *

Name of Business *

Business Physical Address *

City *

State *

Postal code *

How many dishwashers do you currently use? *

How many dishwashers do you want? *

Dishwasher Model Type *

Please select one

Standard
Corner Unit
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