CLIENT QUOTE Name * First Name Last Name Phone (###) ### #### Email * Address * Type of property Residential Commercial Company Name If applicable Current Equipment Well or City Water Well Water City Utility Water Test Results: Iron | Sulfur | Hardness | Ph | Tannins | Bacteria 1. Chlorine, de-chlorine, softener system New Install Working Order Needs Repair Replace Other 2. Air Injection and softener system New Install Working Order Needs Repair Replace Other 3. City Softener System New Install Working Order Needs Repair Replace Other 4. Reverse Osmosis New Install Working Order Needs Repair Replace Other 5. UV Light Purification New Install Working Order Needs Repair Replace Other 6. Warranty of system (No lightning or Labor Included) New Install Working Order Needs Repair Replace Other Comments Proposed Total Sent to office!