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To assist you in your request for additional information, please take a moment to respond to the questions below... your confidential responses will aid us in serving you!

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Additional Information

What type(s) of applications do you have responsibility for or interest in?
(Please select all that apply)

Ponds
Pools
Fountains

In what area(s) would you like additional information?
(Please select all that apply)

Ponds
Pools
Fountains
Aerators

What type of organization are you with?

What is your position?

What aquatic equipment/supplies do you plan to purchase in the next 12 months? (Please select all that apply)

Pond Equipment/Supplies
Pool Equipment/Supplies
Fountain Equipment/Supplies

What is your estimated budget for the purchases planned?

If you do not have an established budget, would you like assistance in the creation of your budget?

Yes
No

Would you like a PPFC Representative to contact you?

Yes
No

Contact Information

  Name
  Company
  Address
 
  City
  State
  Zip
  Telephone
 
  Fax
  E-mail

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