Appliance Recycling Request Form

Use this form to sign up for Alliant Energy's Appliance Recycling program.

Please note: An asterisk (*) indicates a required field.

Name:* 
Service address:* 
City:* 
State:* 
Zip code:* 
Account number:
Phone:* 
E-mail:* 
I would prefer a:
Check ($50 for working refrigerators/freezers; $25 for working room air conditioners) or
Donation to Hometown Energy Fund
Best time to call to schedule an appointment:
Daytime
Evening
Comments/questions: