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2. Business Name
4. Business Address
6. Street Address
8. Street Address Line 2
10. City
11. State / Province
13. Postal / Zip Code
15. Business Point of Contact
17. First Name
18. Last Name
20. Email
21. Phone Number
23. Select your Items

    Items are available in limited quantities and distributed on a first-come, first-served basis. By selecting a product below, you are not guaranteed the product.

25. Occupancy Sensor: Lutron Maestro 2 Amp Single-Pole Motion Sensor Switch

    Maximum Request: 3

27. Power Strip: Simply Conserve® 7-Outlet Advanced Power Strip

    Maximum Request: 3

29. LED Exit Sign: TCP 2W Green LED Exit Sign BBUP with White Housing

    Maximum Request: 1

31. Smart Programmable Thermostat: Honeywell HomeWi-Fi 7-Day Programmable Smart Thermostat with Digital Backlit Display

    Maximum Request: 1

33. Sink Faucet Aerator: Niagara 0.5/1.0/1.5 GPM Tri-Max Aerator

    Maximum Request: 5

35. Pre-Rinse Spray Valve: Fisher 13641 0.65 GPM Ultra Spray 7 Valve with Long Squeeze Lever

    Maximum Request: 1

37. Rapid Defroster: Boss Defrost

    Maximum Request: 1

39. Outdoor Irrigation Rain Sensor: HUNTER Sprinkler WRCLIK Wireless Rain-Clik Sensor System

    Maximum Request: 1

41. Outdoor Irrigation Smart Sprinkler Controller: Rachio Smart Sprinkler Controller (8 zones)

    Maximum Request: 1

43. Request

    To receive your selected items, please register your business in the SAGE program on the Green Business Tracker portal. A SAGE Advisor will be in touch soon to confirm your selections. For any questions, email SAGE.

47. Electronic Signature*

    1. Agree

    I agree that the information I have provided in this application is truthful and accurate and that checking this box and entering my information below constitutes a legal and enforceable signature for this application in accordance with the provisions of the provisions of the Colorado Electronic Signatures Act 24-71-101.

49. Full Name (Including middle initial if applicable)*
51. Address*
53. Email*
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55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field