Rain Bird Agency Rewards Program Enrollment Form

Rain Bird® Agency Rewards Program

Online Enrollment Form

Membership in the Rain Bird Agency Rewards program is open to non-profit and public agencies in the United States and Canada. Please provide complete information to ensure that your account is set up quickly and accurately.

First Name:*

Last Name:*

Agency Name:*

User Login (Used as your ID):*

User Email (For Account Communication):*

Address:*

Address (Cont.):

Zip/Postal Code:*

City:*

State/Province:*

Country:*

Office Phone Number:*

Cell Phone Number:*

Email (Marketing Communication):*

*Please add at least one Distributor Company

Distributor Name:

Your company's Account Number with this Distributor:

Registration Promotional Code:

Fields marked with an * are required

Terms & Conditions:

Click to download the current Rain Bird Agency Rewards Program Terms and conditions (PDF)

I certify that I am duly authorized act on behalf of the Agency to enroll the Agency in the Rain Bird Agency Rewards Program.

I agree to the terms and conditions of the Rain Bird Agency Rewards Program. (The agreement can be found at Agency Rewards Agreement )