Quick example demonstrating display of form data.
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City of Castlegar Toilet Rebate Program
| Contact Details | |
|---|---|
| First | Rob |
| Last | Wilson |
| Address | 2877 Boxcar St. Abbotsford, British Columbia V4X 2S5 Map It |
| Email hidden; Javascript is required. | |
| Phone (home/cell) | (778) 386-7621 |
| Toilet Information | |
| Toilet installed by | self |
| Conditional Field - If Self | I am a Red Seal plumber. |
| Toilet manufacturer / brand | American Standard |
| Toilet name / model | Mark 2 |
| Flow rating (6 litre or HET) | 6 litre |
| Approval system | CSA |
| Store purchased from | Rona |
| Purchase date | 01/13/2022 |
| Purchase price with PST | $ 1,200.00 CAD |
| Would you have replaced your old toilet without a rebate? | No |
| Registered Property Owner Declaration |
|
| File |  |