Rebate Application

REBATE APPLICATION

FIELDS MARKED WITH A RED * ARE REQUIRED

NAME


INSTALLATION ADDRESS


MAILING ADDRESS


ACCOUNT DETAILS



LEAK DETECTION - WATER MONITOR DEVICES (Choose 1-$100 maximum)


OUTDOOR REBATES (Combined $235 maximum)


INDOOR REBATES (Combined $175 maximum)


To be considered for a rebate the following 3 items must be received:

  • Rebate Application (this page, completed and signed)
  • Sales Receipt/s or Invoice/s (original or a copy)
  • For HET toilet disposal, receipt from disposal facility (original or a copy)

Customers can take advantage of each rebate one time per fiscal year (July 1st-June 30th), per account.


By completing this form, I certify the information I have provided is true and correct, and I have purchased the goods for use at the location indicated. I grant permission to Clackamas River Water Providers, with notification, to enter upon the property to inspect the installation of rebate goods to assure program requirements are met. I understand rebates are distributed on a first-come first-served basis until funds are exhausted.


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Conservation Rebates

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Conservation Tools

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Indoor Conservation

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Outdoor Conservation

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Landscape Water Audits