Irrigation Rebate Application

Fill out the form below online or click here to download the form

** If you choose to download the form, please fill out, scan and send to ahout@missionvalleypower.org

Irrigation Rebate Application

Conservation Rebate form for Agricultural/Irrigation Efficiency Measures

Comments

This field is for validation purposes and should be left unchanged.

Date(Required)

Pump Account #:(Required)

Meter Number:(Required)

Location Number:

Name(Required)

First Last

Phone Number:(Required)

Email Address:

Address(Required)

Street Address City State ZIP Code

Physical Location of this pump:(Required)

H.P. of Pump:(Required)

Number of irrigated acres served by this pump:(Required)

Type of Pump System:(Required)

Wheel Line

Hand Line

Center Pivot

Lateral Move

Portable Main Line

Drain Gaskets- Replace with new gaskets (Number of gaskets replaced):

Rebate is limited to two units per sprinkled acre

Subtotal: ($3.00/gasket):

Pipe Section Gasket- Replace (Number of gaskets replaced):

Rebate is limited to two units per sprinkled acre

Subtotal: ($4.00/gasket):

Hub Replacement / Thunderbird Wheel Line Hubs (Number of hubs replaced):

Rebate is limited to two units per sprinkled acre

Subtotal: ($4.00/hub):

Leveler- Rebuild or Replace (Number of levelers replaced):

Subtotal: ($1.00/leveler):

Sprinkler Head- Replace with New or Rebuilt head (Number of heads replaced):

Subtotal: ($1.00/sprinkler head):

Replace Nozzle (Number of nozzles replaced):

Subtotal: ($3.00/nozzle):

Total Rebate Amount Due:

The Following Sprinkler Upgrade Packages Must be Pre-approved for Rebate Payment:

Irrigation System Conversion to MESA from High Pressure
Sprinkler Package Replacement – High Pressure Sprinkler Package
Sprinkler Package Replacement – MESA Sprinkler Package
Sprinkler Upgrade – Conversion to LESA/LEPA/MDI from High Pressure
Sprinkler Upgrade – Conversion to LESA/LEPA/MDI from MESA
Sprinkler Package Replacement – LESA/LEPA/MDI Sprinkler Package
Sprinkler Upgrade – System Conversion from Low Pressure to High Pressure

Call Lyle Neiss at 406-883-7910 or email at neiss@missionvalleypower.org to get approval.

Must include an itemized receipt of purchase:(Required)

Drop files here or

Accepted file types: jpg, pdf, jpeg, gif, png, tiff, Max. file size: 10 MB.

Customer Signature:(Required)

Please allow up to 8 weeks for the billing credit to be issued to your account after submitting your completed application and all required documentation.

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After Hours 406-883-7972

Office 406-883-7900

After Hours 406-883-7972

Office 406-883-7900

Irrigation Rebate Application

Fill out the form below online or click here to download the form

Irrigation Rebate Application

Please allow up to 8 weeks for the billing credit to be issued to your account after submitting your completed application and all required documentation.

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