Contact Form

Please fill out the form below to contact us with your questions about solving your water problems or if you have general questions regarding our products or services.

Request for General Information Request for Field Procedures
Company Name:
Name:
Address:
City:
State:
 Zip:
Phone #:
Fax #:
Email:
What kind of problem do you have?
What kind of well do you have?
What is the production of the well normally in gallons per minute?
Has that changed?
 Yes No
Diameter of casing in inches:
Total depth of well in feet:
Static Water Level in feet:
Well screen type/length if applic:
Type of formation:
For piping (buried or surface) to be cleaned;

Diameter of pipe (in inches or mm):
Length in distance (feet or meters) of pipe to be cleaned:
Type of pump to be cleaned:
Horsepower of Pump?
Your perceived problem in well/system or physical symptoms noticed:
(ie., pump production down, slime or hard scale noted in piping system, increasing concentrations of iron or manganese in water, etc.)
Comments:
   
How did you hear about our website?
   

 

Design Water Technologies
5920 Covington Road
Shorewood, MN 55331
P: 952-474-4657 | F: 952-470-6637 | Toll Free: 888-437-6426