2. Rebate Information
   The Rotary Nozzle Retrofit rebate is offered one-time per service location. This rebate specifically targets the replacement of less efficient, traditional fixed or adjustable arc spray nozzles with more efficient rotary nozzles. In most cases, the retrofit can be accomplished by simply removing the old spray nozzle and replacing with the new rotary nozzle. Generally, replacement of the entire sprinkler head is not necessary. Rebate is for the purchase price of the nozzle (excluding installation costs, taxes, shipping/handling) up to $5 each. Non-residential max. is $2,000. These water conserving nozzles are recommended in conjunction with a 6-inch pop-up height sprinkler head for turf areas, and a 12-inch pop-up height for native areas. Actual water savings may vary.
4. 1. Account Information
6. Water Account Name*
7. Water Account Number
9. Date attended a Water Wiser Workshop
11. Preferred rebate method:*

    1. Check
    2. Castle Rock Water bill credit
15. 2. Installation Data
17. First Name*
18. Last Name*
20. Address*
22. City*
23. State*
24. Zip Code*
26. Building Type*

    1. Residential

    1. Non-residential
30. 3. Contact Information
32. Contact Person*
33. Last Name*
35. Phone Number
36. Best Time to Call
38. Email Address
42. 4. Rotary Nozzle Information
    To be eligible for a rebate, you are required to bring in all of the nozzles that were replaced as part of the application. The old nozzles will be recycled by the Town of Castle Rock. Rotary nozzles must be installed in the Town's water service area, during the current rebate year. Actual water savings may vary.
44. Manufacturer / Make*
45. Model Number*
46. Date Purchased*
48. Quantity*
49. Purchase Price*
50. Attach a Copy of Original Sales Receipt
54. Manufacturer / Make
55. Model Number
56. Date Purchased
58. Quantity
59. Purchase Price
60. Attach a Copy of Original Sales Receipt
64. Email Address
    This field is not part of the form submission.
Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field