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Technical Request Form

Help is a few clicks away! The results of this form are sent via e-mail to support@advanced-water-systems.com. One of our water technicians will respond via email, usually within one business day. Fields WITH * are required, but please fill out form as completely as possible to assist our technicians in responding to your request.

First Name * Last Name *
Company Email *
Address Line 1 Address line2
City * State *
Country * Zip/Postal Code *
Water Source: Persons in Home:
# of Bathrooms: Piping Style:
How did you hear about us?  
 

Check all the water problems that apply:
Pressure Problems? (lack of pressure, flow) Acidic water
Scale or white spotting Red or pink stains
Iron problems?  (taste, rust stains, etc.) Rust stains
Manganese problems? (bitter taste, black stains) Blue stains
Evidence of Corrosion Black stains
Bad tastes Brown stains
Odors Sediment
High salinity (salt) Sand
Color in water Nitrates
Bacteria Parasites

Check all that apply:
I use a water softener I use a carbon filter
I use a reverse osmosis system I use other filter or treatment system
I am on a private water source I drink botted water
My water has been analyzed by a laboratory within the past twelve months.

Please tell us more about your specific system, water problem or question:
 

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743 41st Ave. Santa Cruz, CA 95062


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