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Residential Surge Guard
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COOL SMART PROGRAM REQUEST FORM
Home
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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
IA
KS
NE
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?
(Select Item)
News Source
Letter From OPPD
OPPD.Com
OPPD Newsletter/Bill Insert
Referral
Other
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
.