Revised: May-16
R
ESIDENTIAL
RAIN BARREL REBATE APPLICATION
W
ATER
S
ERVICES
D
EPARTMENT
Customer Information:
Customer Name:
Utility Account
Number:
Email Address:
Daytime Phone:
Alternate Phone:
Installation Address:
Zip Code:
Mailing Address (if different):
Zip Code:
Date Barrel(s) purchased:
Date Installed:
Please read the guidelines below and sign indicating your agreement at the bottom:
Rebates are available to College Station Utilities single-family residential water customers with an account in
good standing, who install a rain barrel to capture rainwater runoff.
Submitting a Rebate Application in no way obligates the City of College Station or College Station Utilities to pay
a rebate.
Rebates are offered on a first come/first serve basis and are subject to availability of funds. The rebate may be
terminated at any time, without notice, by College Station Utilities.
A dated and itemized receipt (or copy of receipt), together with this rebate application form, must be submitted
to College Station Water Services within 90 days of purchase, to:
B
Y
M
AIL
:
Attn: Rain Barrel Rebate
B
Y
F
AX
:
979-764-3452
Prior to issuance of a rebate, a representative from the City of College Station may conduct a site inspection to
verify rain barrel installation. The rain barrel must be installed and functional at the time of the inspection.
$25 maximum rebate per barrel, with a two (2) barrel limit per household. Rebate will not exceed amount paid
for barrel(s).
Barrel must be a new or refurbished barrel, intended to hold water, with a minimum capacity of 30 gallons.
Customer agrees to install rain barrels within the City of College Station water service area, screen or cover
barrels to prevent mosquitoes, and to use collected rainwater only for non-potable (non-drinking) purposes.
The City of College Station does not endorse specific brands, products, or dealers; nor does it guarantee
materials, workmanship, performance or durability of rebated products.
For more information: CLICK http://www.cstx.gov/water | CALL 979-764-3660 |EMAIL: jnations@cstx.gov.
I have read and understand the Rain Barrel Rebate Program Guidelines and limitations.
Customer Signature: __________________________________ Date: ________________
CITY OF COLLEGE STATION USE ONLY
Approval: Date: Check Request____ Bill Credit____
Rain Barrel #1 Rebate:
Org Code:
Object Code:
Rain Barrel #2 Rebate:
Org Code:
Object Code:
click to sign
signature
click to edit