Rebate Submission - Rain Barrels - Franklin Soil and Water Conservation District and Columbus GreenSpot

First Name:

Last Name:

E-Mail Address:

Phone Number:

Street Address

City, State, and Zip

Voucher Number:

Participating Community:

Rebate Item: If submitting a rebate for native plant or trees, include plant names in the comment section below.

Please enter the name(s) of the plant(s) purchased:

Please enter the name(s) of the tree(s) purchased:

Total Reimbursement Amount

Attach a photo or pdf of Receipt

Allowed File Types: .jpe, .jpeg, .jpg, .gif, .png, .pdf

Attach a photo or pdf of Rebate Item

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Comments:

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Community Backyards Rebate Submission