Toilet Application

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Thank you for your interest in helping Redwood City save water!

To request an application for our Free Toilet Replacement Program, please fill in the following information and we'll mail you the application promptly:

* Required
Name*:
Address*:
Home Phone:
Work Phone:
Email address:
You Are*:	Owner Tenant
Property Type*:	Single family Multi-Family Commercial
How did you hear about the City's Free Toilet Replacement Program? Note: Please only click button once, it may take a few moments to submit.

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