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Water Technology
Published monthly
Issues per year: 13

Water Technology is edited for retailers/dealers, wholesaler/ distributors and specifiers/consultants of point-of-use water treatment equipment and bulk bottled water sold and installed for residential and small to medium sized commercial, industrial, institutional and agricultural purposes. Sign up today to start your FREE INTRODUCTORY subscription!

 

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QUALIFICATION FORM

Incomplete forms will not be processed. A complimentary subscription to Water Technology will be sent to those applicants who qualify. The publisher reserves the right to limit the number of subscriptions accepted.

1. I wish to receive an introductory subscription to Water Technology magazine FREE of charge.
Yes!
No

NOTE: In order to be considered for a subscription to Water Technology, you MUST select Yes above. If you do not select Yes, you will not receive a complimentary subscription to Water Technology.



2. PRIMARY BUSINESS ACTIVITY: (please check only one)
Individuals Involved in Selling Point-of-Use Water Treatment to End Users:
Dealers/Retailers/Contractors
Distributors
Bottled Water Dealers
-OR-
Distributors/Wholesalers of Point-of-Use Water Treatment Equipment
Plumbing/Heating/Air Conditioning Wholesalers
Specifying Engineer/Water Testing Laboratory/Consultants
Municipality/Small System
Well Drilling/Water Systems/Pump Contractor
Manufacturers/Suppliers
Manufacturers Representatives
Government/Educational Institution
Other (please specify):

3. SECONDARY BUSINESS ACTIVITY: (please check only one)
Individuals Involved in Selling Point-of-Use Water Treatment to End Users:
Dealers/Retailers/Contractors
Distributors
Bottled Water Dealers
-OR-
Distributors/Wholesalers of Point-of-Use Water Treatment Equipment
Plumbing/Heating/Air Conditioning Wholesalers
Specifying Engineer/Water Testing Laboratory/Consultants
Municipality/Small System
Well Drilling/Water Systems/Pump Contractor
Manufacturers/Suppliers
Manufacturers Representatives
Government/Educational Institution
Other (please specify):

4. JOB FUNCTION: (please check only one)
Executive Management
Service
Engineering
Purchasing Department
Marketing/Sales
Advertising/Promotion
Other (please specify):

5. PURCHASING AUTHORITY: (please check only one)
Sole Purchasing Decision Maker
Specify/Recommend Purchases
Approve Purchases
Not Involved

6. NUMBER OF LOCATIONS: (please check only one)

7. Do you wish to receive WaterTech e-News DailyTM at the email address above?
Yes
No

8. In order to verify your request for this publication, we need to ask a personal identifying question. This information is used solely for the purpose of verifying your request.

On which day of the month were you born?

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