WaterWorld Free Subscription

	*WaterWorld* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *WaterWorld*, please answer ALL of the questions on the form below.
	The magazine publisher determines qualification and reserves the right to limit the number of free subscriptions.
	Geographic Eligibility: USA, Canada

1.	*Do you wish to receive a FREE subscription to WaterWorld?*

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2.	How would you like to receive your issues?

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What is the approximate number of employees in your company? (select only one)

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3.	What is the nature of your organization? (select only one)

Water and Wastewater Systems and/or Plants Federal Agencies (incl. EPA), State Agencies, Public Health Agencies

Water Only Systems and/or Plants Educational Institutions

Wastewater Only Systems and/or Plants Research or Analytical Laboratories

Consulting Firms (incl. Engineering, Contracting & Environmental) Manufacturers or Distributors of Equipment & Supplies (incl. Reps)

Industrial Water/Wastewater Facilities or Water Wholesalers Others allied to the field (please specify)

4.	This location or facility is: (select only one)

Municipally Owned & Operated Municipally Owned/Investor Operated

Investor Owned & Operated Other (please specify)

5.	What is your job title? (select only one)

Executive/Administrative Management (i.e. President, Vice President, Board Member, Mayor, Owner, etc.)

Engineering & Operations Management (i.e. Division Head, General Manager, Superintendent, Section Head, Department Head, Chief Engineer, etc.)

Engineering & Design Staff (i.e. Consulting Engineer, Civil Engineer, Mechanical Engineer, Environmental Engineer, Electrical Engineer, Planning Engineer, System Designer, etc.)

Scientific & Research (i.e. Chemist, Biologist, Biophysicist, Analyst, Lab Technician, etc.)

Operations (i.e. Foreman, Plant Operator, Maintenance Crewman, Service Representative, Collection Systems, etc.)

Purchasing/Marketing/Sales (i.e. Purchasing, Market Representative, Salesperson, Sales Representative, Market Analyst, etc.)

Other (please specify)

6.	What is the population served by your water system: (select only one)

500 or less 10,001 - 100,000

501 - 3,300 Greater than 100,000

3,301 - 10,000 None/not applicable

7.	Please check below all products and systems that you recommend, specify, purchase or approve purchase. (select all that apply)

Aeration Process Control Equipment

Chemicals/Biochemicals Pumps, Valves, Seals, Packing & Related Products

Corrosion Control Safety Equipment

Computers/Software Sampling & Analyzing Equipment & Instrumentation

Customer Information Systems SCADA (Supervisory Control & Data Acquisition)

Detectors, Monitors, Recorders Security Equipment, Systems

Disinfection Equipment Sludge Dewatering & Processing Equipment

Engineering & Construction Services Sludge Processing & Application

Filtration Equipment Stormwater Equipment & Services

Flow, Pressure & Level Measuring Equipment & Accessories Tanks & Structures

Groundwater Treatment Trenchless Equipment & Technology

Laboratory Equipment, Supplies & Services Water Treatment Equipment

Membranes Wastewater Treatment Equipment

Meters & Meter Reading Equipment Water Well Drilling, Maintenance & Monitoring

Odor Control None of the above

Pipes, Fitting & Related Products

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