Refrigerator Submission Template

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Refrigerator Submission Template Powered By Docstoc
					                                                                                                ®
                                                                                ENERGY STAR Qualified Refrigerator, Freezer, or
                                                                                    Refrigerator-Freezer Submission Form



                                                                                                                                            Configurations
                                                                                                                                            Refrigerator/Freezer - Single Door - Automatic Defrost
                                                                                                                                            Refrigerator/Freezer - Bottom Freezer - Automatic Defrost
                                                                                                                                            Refrigerator Only - Single Door - Automatic Defrost
                                                                                                                                            Refrigerator/Freezer - Side by Side - Automatic Defrost
      ENERGY STAR Qualified Refrigerator, Freezer, or Refrigerator-Freezer Submission Form                                                  Refrigerator/Freezer - Top Freezer - Automatic Defrost
      [Date]                                                                                                                                Chest Freezer & All Others - Manual Defrost
      [Company Name]                                                                                                                        Upright Freezer - Automatic Defrost
      [Contact Person and email]                                                                                                            Refrigerator/Freezer - Single Door - Manual Defrost
                                                                                                                                            Refrigerator/Freezer - Bottom Freezer - Partial Defrost
                                                                                                                                            Refrigerator Only - Single Door - Manual Defrost
                                                                                                                                            Refrigerator/Freezer - Top Freezer - Manual Defrost
                                                                                                                                            Refrigerator/Freezer - Top Freezer - Partial Defrost
                                                                                                                                            Upright Freezer - Manual Defrost

           Manufacturer (OEM)               Brand         Model Number          Configuration          Defrost Type        Total Volume       Adjusted Volume          Ice?       kWh/yr
Ex.         ABC Technologies                 ABC             12345               Top Freezer            Automatic              18.0                20.52                No         400




      Note: Please email all qualified refrigerator submissions to Jack Henry-Rhoads (jhrhoads@drintl.com) and Ray Long (rlong@drintl.com). Information from this form will be added to the
      ENERGY STAR qualified refrigerator list.




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