EmailMe Form - New Purchase Questions

Name *

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I would like an email back

I would like a call back

Email *

Phone *

Product Inquiry

If it’s a product not related to a water softener, please provide us additional information and any test readings you have so we can reply with the most accurate answer.

Adults and Teenagers

Children Under 10

Are you on city water or private well water?

City (municipal) water [choose this if you have a water bill]

Private Well

How many bathrooms are in your home?

What is your water hardness?

Hardness

GPG (grains per gallon)

ppm (parts per million)

mg/l (milligrams per liter)

CACO (calcium carbonate)

What is your iron reading? (This is required for private well water.)

Iron reading parts

ppm (parts per million)

mg/l (milligrams per liter)

ph

For well water customers, do you have any sulfur and or hydrogen sulfide and or rotten egg smell?

Yes

No

Other Water Smell

Is the odor on your hot and cold water or just your hot?

It is on my hot and cold

It is only on my hot

It is only on my cold

I'm not sure

Do you know if you have iron bacteria present in your water? (Please feel the inside wall of your toilet tank and see if it has a slime feel, which means you have iron bacteria)

Yes

No

I'm not sure

Would you like to provide any other test results you have taken?

Please include any additional information or questions you may have that will help.

How did you find us? *

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