MOEN Rebate Form

First Mutual $75 MOEN Rebate (Offer expires 12/31/2021)

To receive your Rebate, please follow the instructions below:

(Receipts and Rebate Form must be submitted within 60 days of installation)

  1. Purchase a Flo by Moen Smart Water Shutoff between 01/01/2021-12/31/2021.
  2. Complete this Form and Attach Installation Receipt from Plumber
  3. Either Upload info via fmicnc.com or email all info to [email protected]; or
  4. Mail a copy of this Form & receipt(s) to Judy Best at PO Box 410 Smithfield, NC 27577
  5. 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.

Click Here For Another $75 From MOEN
First Mutual Insurance Company
614 East Market Street
PO Box 410
Smithfield, NC 27577
919-934-6111