High Efficiency Nozzle Replacement Pilot Program
Name On Account
City, State, Zip Code:
High Efficiency Nozzle Information:
Date Nozzles Replaced
Purchase Price (without taxes):
Attach a Copy of Original Sales Receipt
Submittal of this application certifies that all information provided as part of this application is true and correct to the best of my knowledge.
Submission of the online application is not considered complete until the affidavit of lawful presence is signed by the applicant. An affidavit will be sent to your email to fill out following the submission of the online application. When this information is received, the rebate application will be processed in the order of receipt. Rebate checks will be issued within three to six weeks of completion of the on-line application.
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