Toilet Retrofit Rebate Sign Up
Note: Any 1.6 gallon (or less) per flush toilet is eligible. Call (805) 733-2475 if you have any questions.
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Number of Toilets
Service Address:
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First Name
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Last Name
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Address
Lompoc, CA 93436
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Phone
Email Address
Mailing Address (if different than service address):
First Name
Last Name
Address 1
Address 2
City
State
Zip
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Indicates Response Required
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