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Commercial Rebate Form

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Preliminary Information Who bills for your water? *


Customer Information
Contact Name*

Company Name


Must be account holder.

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Care Of
Federal Tax ID No.
Distributor
 

Account Number


If you live in a condo or apartment building, you will need to contact your manager for the account number.

Account Number help button*
Customer Type*
Phone number*  -  - 

No Email Address?


If you do not have an email address, you will not be able to apply online. Please call 303-893-2444 for assistance.

Email Address help button *
Confirm Email Address*
Number of Occupants

Mailing Address
Address*
Unit No.
City*
State*
Zipcode*
Rebate information
Purchase Date*


Rebate Type

Please check the box next to the type of eligible product rebate you are applying for:
Full list of eligible products and models.

WaterSense certified toilet


Up to $75. Must purchase WaterSense-labeled 1.28 gallon per flush toilet by Dec. 31, 2015, to qualify, and apply within 90 days to receive rebate.

Rotary/high-efficiency irrigation nozzles


$3 per nozzle, $20 minimum purchase. One-time rebate per 10 years. Minimum of 10 nozzles.

Cooling Tower Conductivity Controller


$500 per conductivity controller installed.

Cooling Tower Make-up/bleed flow meter


$50 per flow meter installed to monitor cooling tower make-up and bleed.

WaterSense Certified Smart Irrigation Controller


25 percent of purchase price for qualifying models to install smart irrigation controllers. Installation cost not included in rebate.

WaterSense labeled Flushometer Bowl and Valve Combination


The WaterSense labeled flushometer bowl and valve rebate program offers a rebate of $125 per installation of HET (1.28 gpf or less) flushometer bowl and valve set.

WaterSense Certified flushing urinal


The high-efficiency urinal rebate program offers a rebate of $100 per urinal installed, which flushes 0.125 gallons per flush or less.

Coin/Card-Operated Laundry Equipment


The coin- or card-operated laundry equipment rebate program offers $150 per machine purchased or leased and installed.

Sub-Meter


$40 each for flow meters installed to monitor individual unit water use.

Commercial Warewashing Equipment


The Commercial Warewashing Equipment Rebate program offers $300 per machine purchased or leased and installed.

WaterSense certified toilet


Up to $100. WaterSense-labeled toilets that use an average of 1.1 gallons per flush (GPF) or less are eligible. Models that flush 1.28 GPF or dual flush toilets with a 1.6 GPF option do not qualify.

Full Purchase Price


Please enter total purchase amount for item.

Product Type
Quantity
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*Rebates subject to change at any time.

Installation Address



Address*
Unit No.
City*
Zipcode*

Receipt

How will you be sending us a copy of your receipt (proof of payment)? Receipt copy must include:
  • Purchase date
  • Brand and model number
  • Price of each item
  • Proof that it was paid in full
Tip: Take a photo of your receipt with your smartphone and email it to yourself for easy upload




  • File types allowed to upload: jpg, jpeg, pdf, tif, and gif
  • File size limit: 5 MB
  • Maximum number of file allowed to upload: 5 files
  • Upload multiple files by browsing to each individually

Customer Feedback
How did you hear about our program?

What is your primary reason for participating in this program?



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