Water Bottle Filling Station Grant Application

WATER BOTTLE FILLING STATION GRANTS ARE ONLY AVAILABLE TO ENTITIES SERVED BY THE PORTLAND WATER DISTRICT (MAINE)

(Please answer all questions. Applicants may be disqualified if required fields are not completed.)

If you would like to confirm receipt of your application, please contact the public relations office.

Name *

Company or Organization *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Installation Year *

Which type of unit are you applying for? *

Describe the location of proposed installation *

Describe exposure, approximate number of people passing by the unit, current use of fountains, etc. *

Explain your organization's need / reason for applying for a grant and interest in a bottle filling fountain *

Who is your primary audience for the unit? *

Who will be installing the unit? *

How did you learn of the grant program? *

Does your organization agree to pay all installation, maintenance, and water costs associated with the unit? *

Yes

Do you need to pursue additional approvals in order to install the unit? *

Yes

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