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2. The free conservation kit includes: one (1) hose nozzle with automatic shutoff, two (2) dye tablets to detect toilet leaks, one (1) EPA Watersense™ labeled showerhead, one (1) aerator for kitchen faucet, and one (1) aerator for bathroom faucet. These kits are available to MVWD residential customers only, while supplies last. Limit one per household. If you would like to receive a conservation kit, please complete this form and you will be contacted within two business days.

4. Are you a Monte Vista Water District customer?

   1. Yes
   2. No
5. MVWD Account Number*
7. First Name*
8. Last Name*
10. Address*
12. City *
13. State*
14. Zip Code *
16. Phone Number*
17. Email*
19. How many people live in the home?*
20. How many bathrooms are in the home?*
22. e-Waterline Newsletter

    1. I would like to receive this quarterly newsletter via email.
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field