City of Peoria
Sustainability & Water Conservation
Residential Tree Planting Rebate
Limit two per water account
Water Billing Account Number (XXXXX-X)
*
Name on Utility Account
*
First Name
Last Name
Address
*
Street Address
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Please select the species of the first tree
*
Cascalote
Chilean Mesquite
Desert Fern
Desert Willow
Ironwood
Palo Blanco
Screwbean Mesquite
Velvet Mesquite
Willow Acacia
Please select the species of the second tree (skip if not applicable)
Cascalote
Chilean Mesquite
Desert Fern
Desert Willow
Ironwood
Palo Blanco
Screwbean Mesquite
Velvet Mesquite
Willow Acacia
Date of Tree Planting
*
-
Month
-
Day
Year
Date
Planted by:
*
Self
Contractor
Have you previously participated in a City of Peoria Sustainability & Water Conservation Program?
*
Yes
No
How would you describe your current level of familiarity with water conservation practices?
*
Extremely Familiar
Moderately Familiar
Somewhat Familiar
Slightly Familiar
Not At All Familiar
How did you first hear about this program?
*
Please Select
Bill Insert (PeoriaNOW)
City Building (Library, etc.)
City Employee
City Event
City Mail (Sustain & Gain, etc.)
City Website
New Customer Email
Email/Newsletter
Family/Friends/Neighbor
HOA/Community Org
Internet Search
Landscaper/Contractor
News Outlet
Peoria School
Social Media
Store/Business
Choose the option that fits best.
SUBMIT REQUIRED DOCUMENTATION: (#1) Picture of the area which shows no tree planted. (#2) Picture of the area which shows the new desert tree planted. (#3) Picture of an itemized receipt showing the subtotal cost of the tree before tax & total amount paid, the tree species, the date purchased, and the business you purchased the tree from.
*
Browse Files
Drag and drop files here
Choose a file
Applied discounts towards the total payment will be subtracted from the subtotal cost. Taxes and installation costs do not qualify for a rebate. The amount of a rebate cannot exceed the amount paid.
Cancel
of
I certify that the tree was purchased and planted in the ground within the last year with adequate growing space, and the information provided above is true and to the best of my knowledge.
*
PLEDGE TO SAVE WATER
Submit
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