Agricultural Tune-up Form

Thank you for your interest in delivering tune-ups to your agriculture customers.

Trade Ally Company Name*

Trade Ally Contact Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Compressed Air Leak Survey & Repair. Review the following statements when providing a Compressed Air System Leak Survey and check each box to indicate agreement:

Yes, enroll me in the Compressed Air Leak Survey & Repair. Verify the local utility participates in the Focus on Energy Program. Complete a checklist per site. Submit the completed checklist and invoice with a $200 Focus on Energy credit to the email AgTA@focusonenergy.com or your local Energy Advisor. Documentation is required within 60 days of performing the leak survey and repair.

Dairy Refrigeration Tune-Ups. Review the following statements when providing a Dairy Refrigeration Tune-Up and check each box to indicate agreement:

Yes, enroll me in Dairy Refrigeration Tune-Ups. Verify the local utility participates in the Focus on Energy Program. Complete a checklist per site. Submit the completed checklist and invoice with a $40 Focus on Energy credit to the email AgTA@focusonenergy.com or your local Energy Advisor. Documentation is required within 60 days of performing the tune-up.

Grain Dryer Tune-Ups. Review the following statements when providing a Grain Dryer Tune-Up and check each box to indicate agreement:

Yes, enroll me in Grain Dryer Tune-Ups. Verify the local utility participates in the Focus on Energy Program. Complete a checklist per site. Submit the completed checklist and invoice with a $100 per dryer Focus on Energy credit to the email AgTA@focusonenergy.com or your local Energy Advisor. Eligible costs include service and labor. Documentation is required within 60 days of performing the tune-up.