AQUAMAG - Inquiry Form

Name *  

Company *  


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Address *  

City *  

State / Province *  

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Country: *  


Please describe  


Please indicate the pH of your wastewater before alkali addition (wastewater treatment applications only):  

Please indicate what equipment, products and processes you are currently using in your system:

Indicate the type of treatment and/or neutralization agent(s) you are currently using:

Please describe *  

Are you satisfied with the current performance of your alkali?


Rate (1-5) what is important to you when selecting a treatment reagent for your application

(0=unimportant to 5=extremely important)

Reliability of Supply *  

Total treatment cost *  

Safe Handling *  

Consistency in Product *  

Made in the USA *  

Technical Expertise of Supplier *  


Please estimate your current consumption of the neutralization agent(s) per year:  

Please indicate what you pay for the neutralization agent(s) you are currently using on a delivered basis: *  

How did you hear about us?

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