Cascade WaterSense® Toilet Program $100 Rebate!
Cascade’s WaterSense Toilet Program provides homeowners a $100 rebate for the replacement of old, water guzzling toilets with new, highefficiency toilets bearing the WaterSense® label. Call (425) 453-1810 or visit cascadewater.org/conservation for a list of the most current WaterSense® models or visit your retailer and ask for WaterSense® labeled toilets. Complete one (1) application and return the application and attachments by mail, fax or email. Mailing Address: Cascade Water Alliance, 11400 SE 8th Street, Suite 440, Bellevue, WA 98004. Fax Number: (425) 453-0953. Email address: mbrent@cascadewater.org Rebate checks will be issued in 4 – 6 weeks. 1. 2. The toilet(s) must be certified through the U.S. EPA WaterSense program – no exceptions. The property where the toilets are installed must be a single-family residence (house/condominium/townhome) whose water provider is a member of Cascade Water Alliance. Cascade members are Bellevue, Covington Water District, Issaquah, Kirkland, Redmond, Sammamish Plateau Water and Sewer District, Skyway Water and Sewer District and Tukwila – no exceptions. Maximum of three (3) rebates per household. The application must be submitted within 90 days of purchase of the toilet(s). The maximum rebate amount is $100 or the pre-tax purchase price of the toilet, whichever is lower. Include a copy of the receipt, not a product order form, with the application. If the receipt doesn’t indicate the specific toilet model, provide other documentation, such as the WaterSense® label or model number from the packaging, showing the toilet is certified in the WaterSense® program. Provide a copy of a recent water utility bill for the property where the toilet was installed. Old toilets must be recycled or disposed, not resold or reused. Old toilets may be recycled free of charge. Visit cascadewater.org/rebates_toilet or call (425) 453-1810 for more information.
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Name Mailing Address City Service Address Phone ( ) Make Rebate Check Payable To How Did You Learn About This Program? State ZIP
Bellevue Covington Water District Issaquah Kirkland Skyway Water and Sewer District Sammamish Plateau Water and Sewer District If your water provider is not listed above, do not submit an application; it will not be processed. Water Utility Account Number (not required for condominiums)
Water Provider
Redmond Tukwila
Number of Rebates Requested ___________________________ Number of Old Toilets Replaced _______________ Age of the Old Toilet(s) _____________ New Toilet Model _______________________________________________________________ I have Verified the New Toilet(s) is WaterSense® Labeled Yes I have Included a Copy of the Receipt Yes The New Toilet(s) was Installed in a Home that is Served Water by a Cascade Member Yes I Have Provided the New Toilet Model Yes I am Providing a Copy of my Water Utility Bill Yes
I certify that the information above is, to the best of my knowledge and belief, true, correct and accurate. I understand that Cascade Water Alliance makes no warranties or guarantees regarding any toilets purchased under this program.
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Updated August 19, 2009
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