To receive your Rebate, please follow the instructions below:
(Receipts and Rebate Form must be submitted within 60 days of installation)
- Purchase a Flo by Moen Smart Water Shutoff between 01/01/2021-12/31/2021.
- Complete this Form and Attach Installation Receipt from Plumber
- Either Upload info via fmicnc.com or email all info to [email protected]; or
- Mail a copy of this Form & receipt(s) to Judy Best at PO Box 410 Smithfield, NC 27577
- Please allow 3 to 4 weeks to receive a check from First Mutual Insurance Company.
Please Complete All Information Below
Omission of any of the required documentation requested will void the rebate.
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First Mutual Insurance Company
614 East Market Street
PO Box 410
Smithfield, NC 27577