The information you provide on the form below will help us give you the most accurate quote possible, on the right treatment system for your needs.

Name or Company Name:

Postal or Zip Code (for Freight Quote):

Phone:

Email:

What is your source water?

Ground Water Source (well deeper than 36 feet)
Ground Water under the influence of surface water (well shallower         than 36 feet)
Surface Water (spring, river, lake, pond)
Other (describe):

<br></p> </p> <p> </p> <p>What is the most water in gallons you use in one day in a given year (your peak daily demand)? <input type="text" name="peak daily demand in gallons"> </p> <p>What is your maximum seasonal turbidity in NTU? If you don't know this, then how cloudly is your water, and do the particles settle out over time? <input type="text" name="turbidity"> </p> <p>If using ground-water which of the following problems does your water have?</p> <p> <input type="checkbox" name="iron" value="yes"> Iron at <input type="text" name="iron levels parts per million"> part per million<br> <input type="checkbox" name="manganese" value="yes"> Manganese <input type="text" name="manganese parts per million"> parts per million<br> <input type="checkbox" name="hydrogen sulfide" value="yes"> Hydrogen Sulfide (rotten egg smell) <input type="text" name="hydrogen sulfide"> <br> <input type="checkbox" name="Other problems" value="yes"> Other Problems: <p><textarea rows="2" cols="60" name="Other Problems"

Comments
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