Spray to Drip Pilot Program Application

Thank you for participating in the Spray to Drip Irrigation Conversion Program. Please complete the following application. Additional information can also be found at www.ocwatersmart.com

Contact Information

1. Who is completing this application *This question is required.

2. Program Participant Contact Information *This question is required.

First Name
(NoSpaces)

Last Name
(NoSpaces) *This question is required.

Email Address (If possible, please avoid using aol.com email addresses as they are not compatible with our system) This question requires a valid email address.

Area Code
(xxx)

Phone Number
(xxx-xxxx)

Alt. Area Code
(xxx)

Alt. Phone Number
(xxx-xxxx)

3. Retail Water Agency *This question is required.

4. Confirm Retail Water Agency *This question is required.

5. Water Bill Account Number *This question is required.

Please upload a copy of your water bill.
(Tips: It does not need to be your most recent water bill. Contact your local water agency if you need a copy.)
*This question is required.

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Comments

6. Is the project location Owned or Rented? *This question is required.

Please upload written authorization from property owner.

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