Free Laundry-to-Landscape Interest Form

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Please provide your contact information and answer a few questions to confirm you're a suitable candidate for a laundry-to-landscape greywater system, which will be installed by Urban Tilth, free of charge.

What is your home address? (Number, Street, City, Zip code) *

Please re-enter your home zip code *

Are you (or your family) the homeowner or do you have direct approval from property management to make alterations?
*

Yes

Do you have a functional washing machine (in-house laundry)?
*

Yes

Is your washing machine on the 1st floor and next to an exterior wall? *

Yes

Do you have a yard with plants that need water, or, do you have a space for new plants? (Greywater works well for fruit trees!)
*

Yes

CONTACT INFORMATION

Name *

Email *

Phone number *

Any other questions / concerns?

Submit

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