Complimentary Gift Redemption

Use this form to choose and request the gift you were promised in exchange for qualified participation in The Water Awareness Program. Make sure to have your completed "Homeowner's Reaction Report" with Redemption Code on hand before beginning.

Redemption Code (from Homeowner's Reaction Report Form) * Required

Please carefully enter the Redemption Code EXACTLY as shown.

Name * Required

Enter First & Last (John Smith) of the Participant shown FIRST on the Homeowner's Reaction Report.

Address * Required

Enter the address as shown on the Homeowner's Reaction Report

Phone * Required

Email * Required

Gift Delivery Option Requested * Required

If Digital, expect arrival in 7 to 14 Days. If by USPS, allow 2 to 4 weeks.

Reasons Did or Didn't Buy 1st Visit? * Required

If you did choose to have a water filtration system installed and placed an order during the FREE Water Test visit, please briefly tell us what your primary reason for moving forward immediately was. If you did not choose to fix your water problem, please briefly tell us why not.
Thanks in advance for this valuable feedback!

(Optional) Additional Comments...

Is there anything at all you would like us to know about any interaction you had at any time with our organization? About the Appointment Setter? About the Water Technician? About our Installer (if applicable)? Any comments on the testing and presentation? Comments on our products/services/offers? All feedback is appreciated.