This online form is provided for residential water customers that want to be contacted for participation in the Windsor Efficiency PAYS® program. Please fill out this form completely prior to submitting. We encourage you to continue visiting the Windsor Efficiency PAYS® webpage to stay informed about new options or benefits that this program can provide once underway.

Contact Information

First Name*

Last Name*

Street Address*

Apt #

City*

Windsor Santa Rosa

Zip*

95492 95403

Phone Number*

Number of residents

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Best times to call, select all that apply.

Weekdays Weekday evenings from 5 to 8

Weekend days Weekend evenings from 5 to 8

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Email Address

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How did you hear about Windsor Efficiency PAYS®? Select all that apply.

Program Contractor Windsor Times Press Democrat Town Website Recorded phone call Local event

Word of mouth Local cable television Bill insert Social media site Direct mail postcard Other

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If you selected Program Contractor above, please tell us which program partner contacted you.

Select from list... Bottom Line Utility Solutions Water Management Inc. Sonoma Mountain Landscapes Standards of Excellence I am unsure

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