COOL SMART PROGRAM REQUEST FORM
CUSTOMER INFORMATION
First Name
*
Last Name
*
Phone Number
*
OPPD Account Number (Optional)
Email Address
*
SERVICE ADDRESS
Address
*
Unit Number
City
*
State
*
Nebraska
Iowa
Kansas
Zip Code
*
INSTALLATION INFORMATION
How many central air conditoner/heat pumps do you have?
*
Geothermal well systems and window air conditioners are not eligible.
How did you hear about the Cool Smart Program?
*
News Source
Letter From OPPD
OPPD.com
OPPD Newsletter/Bill Insert
Referral
Other
Please mark this box if an appointment is needed to access your outdoor AC unit
(i.e., you have a locked gate, dog in the yard, etc.). Once your registration has been processed, our electrical contractor will call you to schedule an appointment.
I HAVE READ AND AGREE WITH THE COOL SMART PROGRAM TERMS AND CONDITIONS*
*
*Cool Smart Program
Terms and Conditions