Report and Request

2. The undersigned, a resident of the Town of Chevy Chase, wishes to participate in the Battery-Powered Blower & Equipment Rebate Program. By participating, I understand and agree to the following:

   • The Program will reimburse a household, or a landscape service provider on behalf of a household, 50% of the cost, up to a maximum rebate of $200, for the purchase of a battery-powered blower or blowers and equipment related to their operation, including batteries and chargers.
   • This is a one-time rebate that is available for the purchase of equipment.
   • The undersigned agrees to use, or require the use of, the equipment purchased through this program for landscaping services on the undersigned’s property.
   • The undersigned is responsible for submitting to the Town this completed application and proof of purchase of the equipment by either the household or by a landscape service provider.
   • The same receipt of purchase by a contractor may be provided by multiple households that use the same contractor. A single contractor is eligible to receive the rebates of up to five (5) households, provided that the 50% reimbursement requirement applies.
   • The Town reserves the right, in its sole discretion, to approve or deny any request for a rebate. This program is subject to termination by the Town without further notice. Rebate payments are offered on a limited basis, subject to a not-to-exceed program limit of $30,000. Requests submitted will be processed in the order received.
   • The Town may require additional information or documentation as deemed necessary to adequately assess an application for a rebate.
4. Resident Name*
5. Resident Address*
7. Email Address*
8. Phone Number
10. Contractor Name (if applicable)
11. Contractor Address (if applicable)
13. Upload Document*
17. Agreement & Release*

    In consideration for making the Battery-Powered Blower & Equipment Rebate Program available and providing financial assistance thereunder, the undersigned hereby certifies and agrees that you (a) have read this document in its entirety, and (b) understand and agree that the Town will not be responsible for the performance, maintenance or repair of any equipment purchased through this program or for any work performed by a contractor or individual with equipment purchased through this program, (c) agree to abide by all of the terms and agreements of the program, and (d) hereby release, indemnify and hold harmless the Town and all of its officers, employees, contractors, and agents from all suits, actions, damages, and costs which may result from the purchase and use of equipment under this program.

    1. I have read this Agreement & Release in its entirety and understand its terms.
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19. 1. Receive an email copy of this form.
20. Email address

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21. Submit

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