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Free Water Consultation

Our water specialists will be delighted to help you identify the water treatment methods and products that are most appropriate for you. Tell us your water concerns, preferences, and supply. If you live outside of the Seattle area, you may need to obtain additional water information from your water supply. Or, email us to request a water sample bottle.

Name:
Address:
City:
State:
Zip:
E-mail:
Phone:
How were you referred to Custom Pure?
Your Water Concerns... Taste, odor, or color
Parasites (cryptosporidium, giardia)
Bacteria
Organic chemicals (THM's)
Fluoride removal
Chlorine Removal
Want water as pure as possible
Others:
   
Interested in treating... Drinking water in home
Drinking water in the office
Shower water
Others:
Number of people in the home/office:

Is it a private or public water supply?

 Private water supply Public water supply
Is it a surface water source? Yes No Do not know

Is it a ground water source?

 Yes No Do not know
Does the water source change throughout the year? Yes No Do not know
Is it treated for bacteria (by chlorination, ozonation or UV)? Yes No Do not know
Is it fluoridated? Yes No Do not know
What is the specific conductance? (if known) (in micromhos or microseimens)
What is the total dissolved solids (TDS) content? (if known) (in parts per million)
Additional Information
 

Water for the Home

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Custom Pure
1514 NE 179th Street
Seattle, WA 98155
206.363.0039
info@custompure.com

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