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2. Instructions

   Celebrate National Energy Awareness Month and EPA WaterSense’s Shower Better Month this October by entering our E-Z Pay for WaterSense contest! Enter for a chance to win a Shower Better Bundle to have a luxurious shower experience, while conserving water, reducing energy use, and potentially even lowering utility costs! You deserve to shower better. 

   Submit this contest entry form AND enroll in E-Z Pay, by 5:00 p.m. on October 31, 2023. Utility customers already enrolled in E-Z Pay must complete this entry form to enter the contest. Get a second contest entry by enrolling in eBilling! Contest entry is void if not enrolled in E-Z Pay.

4. Full Name:*
6. Service Address:*
8. Email:*
10. E-Z Pay Enrollment:*
    -- Select One --I enrolled for this contestI was already enrolled before the contest

    E-Z Pay enrollment is required for contest entry and will be verified upon winner selection.

12. eBilling Enrollment*
    -- Select One --I was already enrolled in eBilling before this contestI just enrolled in eBilling with my E-Z Pay enrollmentEnroll me now for paperless eBillingEnroll me now for eBilling & mailed paper bill copiesPlease do not enroll me in eBilling

    eBilling enrollment is NOT required for contest entry but will count as an additional entry for new enrollees.

14. Have you entered this contest in previous years?
    -- Select One --YesNot SureNo
16. Have you heard of EPA WaterSense before?
    -- Select One --YesNot SureNo
18. How important is water conservation to you?
    -- Select One --Very ImportantImportantSomewhat ImportantIndifferentNot Really ImportantNot Important
20. How did you hear about this contest?

    Select all that apply:

    1. Water Bill
    2. Water Billing Office Display
    3. City of Concord Website
    4. Newspaper
    5. Newsletter
    6. Social Media
    7. Email Alert
    8. Other
24. Terms & Conditions*

    By entering this contest, you agree to the following terms: Winners must be water and/or sewer utility customers in Concord, New Hampshire and must be enrolled in E-Z Pay with a submitted contest form by 5:00 p.m. on October 31, 2023. Winners will be contacted via the email included on the contest entry form. Contestants must be responsible to check their email. Selected winners will have one week from the email notification to respond to claim their prize, or their chance will be forfeited to a new winner selected in their place. Winners are responsible to pick up their prize and pledge to install the shower head. Enrolling in eBilling is not required for contest entry but will count as an additional entry for new enrollees and will use the email included on the contest entry form. Contest entry forms are void if customer is not enrolled in E-Z Pay. Entering the contest will subscribe you to our General Gazette newsletter, which you may unsubscribe to if desired upon receiving the newsletter. Find full contest rules and details at our Utility Billing Office at 311 North State Street or by visiting www.concordnh.gov/watersense.

    1. I agree
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