Please give us your name and address:

    * Organization

*Mailing address 

Address (cont) 

       *           City

* State/Province

*Zip/Postal code

       *   Country

 *   Work Phone

                   Fax

           *    Email

          Web Site 

* Mandatory information

Please complete the following

 1   Number of filter banks Do you want to monitor all? Yes No
      If no how many?

 2   Do you wish to look at influent also? Yes No

 3   Do you presently have some type of scada system? Yes   No
      If not, would you like to have one? Yes No

 4   What is the distance from your filter banks to your control area?

 5   Do you want a local display? Yes No

 6   Do your want one unit to check all sensors
      (if more than one sensor used)? Yes No

 7   Are there lots of bubbles entrained in your system(s)? Yes No

 8   Do you want Backwash & Turbidity in one display? Yes No