IWTP Interest Form

If you work at a State of Illinois government agency or university, and would like more information on the IWTP, please take a minute to complete the form below.

Do you have water treatment or corrosion control needs that are not being addressed at the present time?

Would you like to have the IWTP review your current program and evaluate the state of your water treatment and corrosion control?

YES

YES

NO

NO

Not Sure

Would you like someone from IWTP to contact you?

What is the nature of your interest in the program?

YES

Work at Illinois State Facility

NO

Illinois Citizen

Please mail a brochure

General Interest

Name:
Address:
Address:
City: State/Prov:
Country:     Zip/Post. code:
Phone:
E-mail:
 
Comments: If you have specific questions, please list them here.

IWTP Home Page | IWT Program Overview | Illinois  Chief Engineers Workshop | Directory of Related Links | More Information | IWTP Forms | Participating Facilities | Chemical Specifications and Purchasing

To contact us:

Phone: 217/333-9321
Fax: 217/244-3054
Email: iwtp@sws.uiuc.edu
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