Smart Irrigation Controller Rebate Form

Applicant Information

Applicant First Name

Applicant Last Name

Phone

Account Number

Customer Number

Service Address

Unit

City/Town

State/Province

ZIP/Postal Code

Subdivision Name

Does a HOA or Property Manager maintain any portion of your property?

Yes

Is the HOA or Property Manager responsible for the irrigation water bill for that area?

Yes

Are you the Account Holder?

Yes