Northern Arizona Quality Water Inc.
     an authorized, independent Kinetico Dealer
 
    
Your Subtitle text

Free Water Test

NAQW/Kinetico Water Systems offers a Free Water Test and plumbing audit at your home or business. The water test is the first step, where we try to identify the pertinant water quality issues, on the way to recommending solutions to the potential problems. To request a free water analysis, literature, or a free estimate on Kinetico products, please fill out the following online form or call our office at 1-800-280-2010 for faster service. Free water tests are limited to our normal service territories: Sedona-Verde Valley, Prescott Tri-City, and Flagstaff.

 

Contact Information

Full Name:

Address:

City:

State:

Zip Code:

Home Phone: (ex: XXX-XXX-XXXX)

Work Phone: (ex: XXX-XXX-XXXX)

E-Mail Address:

Water Information

Would you like a Free Water Analysis?
  

Would you like literature and/or free estimate on Kinetico products?
  

Do you use bottled water?
  

Are you a homeowner?
  

Does your water have an unpleasant smell or taste?
  

What is your water source?

Do you presently have a water softener?
  

If yes, what brand?

Do you presently have a filter or reverse osmosis drinking water system?
  

If yes, what brand?

How would you rate your water?

Number of people in home?

What is the best time to reach you?

Any special comments or questions?

How did you hear about us?

Referred by:


Contact Information

In this area, you can enter text about your contact form. You may want to explain what happens after a visitor submits the form and include a contact phone number.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments: