1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100
101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120
121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140
141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160
161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180
181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200
201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220
221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240
241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260
261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280
281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300
301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320
321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340
341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360
361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380
381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400
401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420
421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440
441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460
461 412 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480
481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500
1. What is the nature of your organization? (Check ONE only)
02 Water and Wastewater Systems and/or Plants
04 Water Only Systems and/or Plants
06 Wastewater Only Systems and/or Plants
25 Consulting Firms (incl. Engineering, Contracting & Environmental)
17 Industrial Water/Wastewater Facilities or Water Wholesalers
29 Federal Agencies (incl. EPA), State Agencies, Public Health Agencies
33 Educational Institutions
37 Research or Analytical Laboratories
41 Manufacturers or Distributors of Equip. & Supplies (incl. Reps)
53 Others allied to the field (please specify) ____________
2. This location or facility is:
02 Municipally Owned & Operated
06 Investor Owned & Operated
08 Municipally Owned/Investor Operated
10 Other ___________________________________
12 None/Not Applicable
3. What is your JOB TI TLE?
01 Executive/Administrative Management (i.e., President, VP,
Board Member, Mayor, Owner, etc.
03 Engineering & Operations Management (i.e., Division Head,
General Manager, Superintendent, Section Head,
Department Head, Manager, Chief Engineer, etc.)
05 Engineering & Design Staff (i.e., Consulting Engineer, Civil
Engineer, Mechanical Engineer, Environmental Engineer,
Electrical Engineer, Planning Engineer, System Designer, etc.)
07 Scientific & Research (i.e., Chemist, Biologist, Biophysicist,
Analyst, Lab Technician, etc.)
09 Operations (i.e., Foreman, Plant Operator, Maintenance
Crewman, Service Representative, Collection Systems, etc.)
11 Purchasing/Marketing/Sales (i.e., Purchasing, Market
Representative, Salesperson, Sales Representative, Market
Analyst, etc.)
98 Other (please specify) __________________________
4. Please check below all PRODUC TS or SYSTEMS that you RECOMMEND, SPECIFY,
PURCHASE or APPROVE PURCHASE (Check ALL that apply)
67 Aeration
17 Chemical/Biochemicals
03 Computers & Software
37 Corrosion Control
66 Customer Information Systems
71 Desalination/Brackish Water
07 Detectors, Monitors, Recorders
11 Disinfection Equipment
21 Engineering & Construction Services
15 Filtration Equipment
13 Flow, Pressure & Level Measuring Eqpt. & Accessories
69 Groundwater Treatment
29 Laboratory Equipment, Supplies & Services
68 Membranes
19 Meters & Meter Reading Equipment
57 Odor Control
09 Pipes, Fittings & Related Products
01 Process Control Equipment
05 Pumps
23 Safety Equipment
45 Sampling & Analyzing Equip. & Instr.
41 SCADA
64 Security Equipment Systems
27 Sludge Dewatering & Processing Eqpt.
63 Stormwater Equipment & Services
35 Tanks & Structures
70 Trenchless Equipment & Technology
72 Valves, Seals, Packing & Related Prod.
55 Waste water Treatment Equipment
43 Water Treatment Equipment
65 Water Well Drilling, Maintenance &
Monitoring
61 None of the above
Do you wish to receive a free subscription to
Water World? ❏ Yes ❏ No
Subscription delivery via ❏ Print ❏
Digital
Signature ___________________________________
Date _______________________________________
Name ______________________________________
Title ________________________________________
Company ___________________________________
Address ____________________________________
City _________________________ State __________
Zip___________ Country ______________________
Phone ______________________________________
Fax ________________________________________
Email _______________________________________
(E-mail address required for digital delivery)
For FREE information from our advertisers circle the
appropriate reply numbers above
Easy way to get new product information:
1. Fax: 800-571-7730 (416-620-9790 outside USA)
2. Mail: Subscriber Service Water World
P.O. Box 3264, Northbrook IL,
60065-3264
®
RSC03
March 2014 Use before May 2014
