WaterCheck with Pesticide Order Form

$159.95 Free Shipping

Step 1 - Enter contact information and optional water information:

Contact Information
First Name
Last Name
Email
Optional Information: If you would like to tell us about your water, please check any that apply:
Water Source	Please select onePrivate Well Community Well Spring River / Creek Lake Rainwater Other Don't Know
Number of Bathrooms	Please select one1 1.5 2 2.5 3 3.5 4+
Well Flow Rate (more info..)
Red / Orange Stains	Yes No
Brown or Black Stains	Yes No
Blue Stains	Yes No
White Spots / Scale	Yes No
Sediment	Yes No
Color in water	Yes No
Sulfur odor in cold well water	Yes No
Sulfur odor in hot water only	Yes No
Water has other odors	Yes No
Corrosion	Yes No
Please give us as much background info as you wish so we can learn more about your concerns or goals regarding your water quality:
The Usual Disclaimer:
These water test kits are provided for educational purposes and are not meant to provide a certified water analysis. Results can vary. Clean Water Systems Inc. neither accepts or assumes any liability associated with the test kits or recommendations based on the analysis. No warranty or guarantees are extended. I agree to hold harmless Clean Water Systems Inc for any information contained herein and take full responsibility for my own water systems and applications. Yes No
Subscribe to the Clean Water Report while you are here and receive coupons for $25 on future purchases at the Clean Water Store! Yes:
To receive your test kit, click on the link below to proceed to check out and pay $159.95 with your credit card or Paypal. Satisfaction guaranteed or your money back!