TWEED NEW HAVEN (HVN) RESIDENTIAL INDOOR AIR PROGRAM (RIAP) APPLICATION
PROPERTY OWNER INFORMATION First Name Last Name
MAILING INFORMATION Mailing Address is the same YesNo
Mailing Address Mailing City Mailing State Mailing Zip
CONTACT INFORMATION Home Phone Cell Phone Email Address May we contact you by text message? YesNo
Would you like to participate in the Residential Indoor Air Program? YesNo
Acceptance to Participate I (We) certify that I am (we are) the owner(s) of the property requesting to participate in the HVN RIAP. All information given in this application is true and accurate to the best of my (our) knowledge. I (We) understand that should the property qualify for participation; being provided a redemption code for purchasing equipment will be contingent upon my (our) execution of this form. Copies of these documents will be provided to the Homeowner upon successful qualification for participation.
I/We Acceptance to Participate
Decline to Participate
I/We Decline to Participate
I am (We are) declining to participate for the following reason(s) (optional)
I (We) understand the HVN RIAP is fully funded and managed by Avports, HVN’s airport operator, and a future opportunity to participate is not guaranteed.
Signature Please Sign Your Application Todays Date
If you have any questions about the program application or participation in the HVN RIAP, please email our Outreach Team at hvncommunity@avports.com, and they will get back to you.
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