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2. Water Saving Device Guidelines
   • Must be a District Customer
   • Must be a current resident in the District
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*
16. Choose the free device(s) you would like to receive.*

    1. Automatic shutoff hose nozzle
    2. High-efficiency showerhead
    3. Low-flow faucet aerator
    4. Toilet flapper for 2” drain opening
    5. Toilet flapper for 3” drain opening
    6. Toilet leak detection tablet
    7. Water conservation guide
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit Submit and Print

* indicates a required field