Lawn Care for Cleaner Air Rebate Form
Name:
*
First Name
Last Name
Address Details
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone (daytime):
Format: (000) 000-0000.
Evening:
Format: (000) 000-0000.
Email
*
example@example.com
Dealer you bought the equipment from:
*
Dealer Address:
*
Amount of rebate requested:
Date purchased:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Make & model of new electric lawn care equipment:
How long does it take to mow your lawn?
How often do you mow?
Proof of Payment (Upload Receipt)
*
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of
Proof of Metro Louisville / Jefferson County Residency (Photocopy of driver's license or equivalent state ID)
*
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of
Scan of notarized recycling voucher from recycling center
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of
Preview PDF
Submit
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