2. Rebate Information
   The Whole Home Water Monitoring System rebate encourages the installation of a customer-driven whole home water monitoring system with leak detection and automatic shut-off valve.
   
   Applications are processed in the order received and rebates are distributed on a first-come, first-served basis. Funding is limited. Rebate will reimburse participant 50% of the cost of the product up to $200 (excluding installation costs, taxes and shipping/handling.) All expenses are out-of-pocket to the applicant. Whole-home water monitoring system must be purchased and installed at the water service address, in the Town of Castle Rock Water service area, during the current rebate year. Rebate checks are issued within three (3) to six (6) weeks after completion of application and required supplemental information. Actual water savings may vary.
4. 1. Account Information
6. Water Account Name*
7. Water Account Number
9. Date Attended Water Wiser Workshop
   Qualified applicants are required to attend a Water Wiser Workshop.
11. Preferred rebate method:*

    1. Check
    2. Castle Rock Water bill credit
15. 2. Contact information
17. Contact Person*
18. Last Name*
20. Address*
22. City*
23. State*
24. Zip Code*
26. Phone Number
27. Best Time to Call
29. Email Address
33. 3. Whole-Home Water Monitoring System Information
35. Manufacturer / Make*
36. Model Number*
38. Serial Number
39. Purchase Price
40. Attach Copy of Receipt
44. Photo Permission

    Upon approval of this application, the Town of Castle Rock has the right and license to use my image, likeness, and comments in Castle Rock materials for internal and external audiences. These materials include, but are not limited to, advertisements, brochures, new releas-es, magazines, newspapers, newsletters, videos, and presentations.

    1. I agree
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46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field