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Irrigation Controller and Appliance Rebate Form

  1. Irrigation Controller and Appliance Rebate Form
  2. Rebate Claims (Check all that apply):*

    Please fill out corresponding fields below...

  3. Legal Agreement*

    I have read and understand the conditions of eligibility for this rebate as stated in the program rules available on the Irrigation Controller Rebate, Toilet Rebate, and Clothes Washer Rebate webpages and understand that this rebate is conditioned upon my compliance with these terms. I understand that all documents, including receipts, become the property of the Town of Frederick once submitted, and the Town of Frederick reserves the right to randomly inspect my premise to verify the installation of my new fixture prior to issuing my rebate. I understand that the installation of a qualifying model does not guarantee a reduction in my water bill. This rebate is subject to the availability of funds and may be changed or discontinued without notice. Fraudulent submittals may be subject to prosecution.

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