Direct Installation Consent Form
Please complete the form below and a City Light representative will respond to your inquiry.
Entry Authorization
I understand that my property manager must provide access to my unit to provide free upgrades. Please enter my unit.
By checking this box, I authorize entry into my unit.
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Contact Info
First Name
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Last Name
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Property Name
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Address
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Unit Number
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Phone Number
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Email Address
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Energy upgrade options
Please select the upgrades you want
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Install LED bulbs
Leave behind efficient showerheads
Leave behind efficient faucet aerators
Please select a CFL recycling option
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I would like to keep any CFL bulbs you replace.
Please recycle my old CFLs for me.
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Notice of Nondiscrimination
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