COOL SMART PROGRAM REQUEST FORM

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Cool Smart Program

CUSTOMER INFORMATION

FIRST NAME

MIDDLE INITIAL

LAST NAME

DAYTIME PHONE NUMBER

- -

OPPD ACCOUNT NUMBER (OPTIONAL)

E-MAIL ADDRESS

CONFIRM E-MAIL

SERVICE ADDRESS

ADDRESS

UNIT NUMBER

CITY

STATE

ZIP

INSTALLATION INFORMATION

HOW MANY CENTRAL AIR CONDITIONERS/HEAT PUMPS DO YOU HAVE?

Geothermal well systems and window air conditioners are not eligible.

HOW DID YOU HEAR ABOUT THE COOL SMART PROGRAM?

Please mark this box if an appointment is needed to access your outdoor AC unit (i.e., you have a locked gate, dog in the yard, etc.). Once your registration has been processed, our electrical contractor will call you to schedule an appointment.
I HAVE READ AND AGREE WITH THE TERMS AND CONDITIONS.