COOL SMART PROGRAM REQUEST FORM

form steps

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?

TERMS AND CONDITIONS.