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Clean Air Assistance Project
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Stove Swap Signup Form
Complete the form to start the process of swapping out your stove. After submitting this form, you will receive a confirmation email. Our team will get back to you to discuss the next steps within five business days.
Do you burn at least two cords of wood per year? In the United States, the definition of a cord is typically a volume of 128 cubic feet—or a stack that is 4 feet wide, 4 feet high, and 8 feet long.
*
Yes
No
Thank you for your interest in Project Stove Swap. To be eligible for financial incentives to swap out your existing appliance, at least two chords of wood must be burned annually. Contact Alli Mueller at 612-334-3388 ext. 8125 with any questions or concerns about your eligibility.
Personal Information
Name
First
Last
Address (where the appliance is located):
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County:
Mailing address (if different):
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Email
Communication preference:
Phone
Email
Do you currently qualify for any of the following programs? (check all that apply):
Supplemental Nutrition Assistance Program (SNAP)
Women, Infants, and Children (WIC) Program
Low Income Heating Assistance Program (LIHEAP)
Medical Assistance
None
How did you hear about Project Stove Swap?
Advertisement
News story
Social media
Internet search
Website
Email
Flyer
Friend, Family, or Neighbor
Other
Current Wood Burning Appliance Information
Current appliance make/model:
Year manufactured:
Is your current appliance a primary, or major heat source?
Yes
No
Is your appliance located in your primary, or year-round residence?
Yes
No
Please upload a color photograph of your current wood burning appliance.
Max. file size: 2 GB.
By submitting this form, I permit Environmental Initiative’s Project Stove Swap team to contact me, and if eligible, share my information with a qualified vendor partner to help swap my stove.
I agree to the privacy policy.
Environmental Initiative will not sell, trade, or share your personal information with other organizations or send mailings on behalf of other organizations. For more information about how your personal information will be managed, view our privacy policy: https://environmental-initiative.org/privacy-policy/
Email
This field is for validation purposes and should be left unchanged.
