Non-Residential Rain Sensor Rebate Application

Name on account

First Name (required)

Last Name (required)

Phone Number (___)___-____ (required)

Billing Address

Street Number and Name (required)

City (required)

State/Province/Region (required)

Postal/Zip Code (required)

Installation address (if different from above)

Street Number and Name

City

State/Province/Region

Postal/Zip Code

Email (required)

Account Number (required)

Please sign me up to receive the monthly eMessenger for important announcements and upcoming events (required)

Yes

Site Information

Number of controllers (required)

Square feet of irrigated area (required)

Name of property manager (required)

Name of landscape company (required)

Rain Sensor Information

Store where sensor(s) were purchased

Date purchased

Installation Date

Manufacturer

Model Number

Quantity

Purchase price (cost of sensor excluding tax and labor)

Original purchase receipt

I certify the information on this application is true and correct. I have read and understand all of the program requirements and I agree to them as a requirement of my participation.

Applicant name

First Name (required)

Last Name (required)

Date (required)

If you purchased multiple sensors, click the Next button at the bottom of the form to add additional sensors.

Rain Sensor Information cont.

Date purchased

Installation date

Manufacturer

Model number

Quantity

Purchase price (cost of sensor excluding tax and labor)

Upload original purchase receipt

Rain Sensor Information cont.

Date purchased

Installation date

Manufacturer

Model number

Quantity

Purchase price (cost of sensor excluding tax and labor)

Upload original purchase receipt

Rain Sensor Information cont.

Date purchased

Installation date

Manufacturer

Model number

Quantity

Purchase price (cost of sensor excluding tax and labor)

Upload original purchase receipt

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