Home Owner's Information
Phone
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United States
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Email
Average Chlorine
PSI
Home Situation
Situation
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Well Water
City Water
WELL WATER DISCLAIMER: Obtain a current well water report and submit to HALO Water Systems for a recommendation.
Is there a Recirculting Loop?
LINE SIZE
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1.00"
1.25"
1.50"
How many Bedrooms?
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1
2
3
4
5
6
7
8
How Many Bathrooms?
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1
2
3
4
5
6
7
8
Round Up (e.g. 2.5 ba = 3 ba)
x
Number of Permanent Residents in Household
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1
2
3
4
5
6
7
8
Year Built (approx)
WATER HEATER STYLE
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Tank
Tankless
Hybrid
Other
WATER HEATER SIZE
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30
40
50
75
100
200
CONCERNS
WATER QUALITY CONCERNS
Hard Water Damage
Contaminants
Chlorine and Chloramines
Bad Tastes and Odors
Fluoride or Other Contaminants
Maintenance Free
Softening / Water Spots
No Discharged Water
Contact Information