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Current IssueAugust 20, 2008
 

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Name
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Business Activity (Check One):

1.You sell point-of-use water treatment to end-users and are a:
     A. Dealer/Retailer/Contractor
     B. Distributor
     C. Bottled Water Dealer
 2. Distributor/Wholesaler of Point-of-Use Water Treatment Equipment
 3. Plumbing/Heating/Air Conditioning Wholesaler
 4. Specifying Engineer/Water Testing Laboratory/Consultant
 5. Manufacturer/Supplier
 6. Well Drilling/Pump Contractor
 7. Small System/Municipalities
 8. Manufacturer's Representative
 9. Government/Educational Institution
10. Other (Please Describe): 

Job Function:

 1. Executive/Management
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 4. Serviceperson
 5. Engineering
 6. Purchasing Department
 7. Other (Please Describe): 

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