EV Fast Charger Rebate Form

One of the limiting factors in deciding to get an electric vehicle is the time it takes to charge the car. Menasha Utilities wants to help. Complete the form below to claim you fast charger rebate. Attach copy of installation invoice. You must be an electric customer of Menasha Utilities to apply. Rebates are subject to fund availability.

Customer Information

Provide customer name as shown on Menasha Utilities bill.
Commercial customers only

Charger Information


Vehicle Information


I understand that this offer provides a $250 incentive ($1,000 or $1,500 for Commercial) for a Level 2 EV charger at a residence or business currently receiving electricity on a retail basis from Menasha Utilities. Menasha Utilities makes no warranties, expressed or implied, with respect to any equipment purchased and/or installed including, but not limited to, any warranty of merchantability or fitness for purpose. In no event shall Menasha Utilities be liable for any incidental or consequential damages. I understand that this program has a limited budget, and that applications will be accepted on a first-come, first-served basis, until allocated funds are spent. This program may be modified or discontinued at any time without notice. I certify that all statements made in this application are correct to the best of my knowledge and agree to Menasha Utilities conformation visit of installed EV charger. I agree to the terms and conditions of this offer as set forth on this application.
Files must be less than 10 MB.
Allowed file types: gif jpg jpeg png pdf.