Shade tree rebate application online version 1

Page 1

APPLICATION

PLANT A SHADE TREE, GET A REBATE Select, plant, and care for a shade tree to make your home more energy efficient and comfortable all year round. To receive your rebate, complete this application entirely, attach copies of receipts and mail to:

SHADE TREE REBATE PROGRAM APPLICATION

Turlock Irrigation District, Attention: Rebates P.O. Box 949, Turlock, CA 95381-0949 or bring to any TID customer service location.

Applicant’s Name TID Account Number Mailing Address Phone Number (

)

Address where tree(s) are planted

SPECIES OF TREE(S) PLANTED 1. 2. 3.

REFER TO THE GUIDELINES AND TERMS & CONDITIONS ON THE BACK OF THIS PAGE. I, the undersigned, agree that any and all trees for which I receive a rebate through the Turlock Irrigation District (TID) Shade Tree Rebate Program (the Program) are my trees and not the responsibility or property of TID. I understand that I will care for the trees and be fully liable for any damage to person or property which may be caused by the planting, maintenance and presence of the trees, or is in any way related to my receipt of the trees under the Program. I further agree to indemnify and hold harmless TID, its officers, employees and agents from any damages related to the trees I purchase through the Program. Applicant’s Signature* *If tenant/renter, property owner must sign application.

Date


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