Step 1

Submit your water sample

Start the process of sending in your water sample for testing.

Bottle ID

What's this?

I am a

Residential property owner Commercial property owner

First Name

Last Name

Company Name

Your Email

Phone Number

Location

Step 1 of 2

Continue

Step 2

Residential Water Sample Form

Fill in the details about your water sample.

I understand that my information will be sent to several local vetted contractors who may contact me.

Submit Form

Back

Step 2 of 2

One more step!

please let us know who you will be working with to provide treatment equipment.

I don't know yet.

please send me contact information for 3 qualified providers in my area.

The email is on the way.

I'm already working with someone.

provide the information your contractor so we can follow up.

Contractor's Name

Contractor's Phone Number

The email is on the way.

Step 1

Submit your water sample

Step 1 of 2

Step 2

Residential Water Sample Form

Residential Submission Form

Visual Evidence

Taste and/or Odor

Commercial Submission Form

Water to be used for:

Water requirements

Fixture count

Water quality required

Water influent

Facilities

Installation details or limitations

Installation details or limitations (cont’d)

Existing equipment at this prospect?

Existing equipment (cont'd)

Step 2 of 2

One more step!

I don't know yet.

I'm already working with someone.