Large Landscape Water Efficiency Program Application

HOA/Community Name

C/O (if applicable)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Date

Name of Representative

First Name

Last Name

Representative Type

Board Member

Property Manager

Landscaper

Phone

Total Grass Area (sq. ft.)

Total Non-Grass Landscape Area (sq. ft.)

I/We have read and understand the Program Description and FAQ.

I/We have read and understand the Participant Expectations of the program.

I/We acknowledge that this Application Request is not a guarantee of entrance into the program.

I/We verify that the information provided is as accurate to the best of my knowledge.

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