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Toilet Rebate Program effective July 1, 2019 through June 30, 2021.

  1. Marietta Power  Water-_COLOR

  2. TOILET RETROFIT REBATE PROGRAM

    Rebates of $50 for 1.28 gallons per flush (GPF) toilets and/or $100 for 1.1 GPF toilets are offered through term of current program expiring on July 1, 2021.

  3. Rebate eligibility checklist (you must check ALL to be eligible):*

  4. Customer and Location Information

  5. Day-Time Phone Number

  6. House must be built before 1994 to qualify

  7. Toilet Information

  8. Total number of toilets replaced on this application*

  9. Please note: Toilets purchased after July 1, 2021 must be WaterSense labeled ultra high efficiency toilets (UHET) rated at 1.1 GPF or less to be eligible for rebate program.

  10. Upload receipt(s) of purchase for new toilet(s). Purchase(s) must be made between prior to July 1, 2021.

  11. Toilet Rebate Policy acknowledgement and signature

  12. By my signature below and submittal hereof, customer acknowledges that the rebate is a one-time rebate to be received only if the customer has purchased eligible toilets from July 1, 2019 through June 30, 2021 and is in good financial standing with the Marietta Power and Water. Customer acknowledges their home was built prior to 1994 or earlier with toilets using 3.5 GPF or greater. Customer also acknowledges that the credit is only available for WaterSense labeled toilets ($100 for 1.1 GPF or less and $50 for 1.28 GPF) with a maximum of three (3) toilets per property (including previous owners). Dual flush toilets (e.g., 1.1/1.6 GPG) may be averaged and only qualify for $50 rebate. Customer further acknowledges that the rebate program is subject to available funds and may be cancelled at any time without notice. Please allow eight (8) weeks for processing. I have read and understand the toilet program policy as stated above. I understand to receive this rebate, I must install a qualifying toilet and dispose of my current toilet so that it may not be reused. I also understand a site visit may be conducted to verify toilet replacement. The original receipt for the new toilet purchased must be attached with this application for approval. I certify by my electronic signature below that I will comply with all of the requirements of the rebate program, that this application is true and correct in all respects, and that any failure on my part to provide true and correct information may subject me to penalties.

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