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Thank you for purchasing a General Ecology® product from General Ecology, Inc., the world leader in sophisticated, chemical free drinking water systems. Please complete and submit the following information to help us provide you with better service and products.

Purchased Product	Seagull® IV; X-1 Water Purifier ( X-1F, X-1D, X-1P) Seagull® IV; X-2K "Designer Series" Water Purifier(X-2KB, X2KF) Seagull® IV X-6 water purifier(large capacity) Seagull® IV CA Series(California) Spark-L-Pure® Micro Water Filter Nature Pure® Ultrafine Water Purifier (faucet, basic, countertop) First Need® XL Portable Water Purifier First Need® Deluxe Water Purifier First Need® Trav-L-Pure Water Purifier First Need® Base Camp Water Purifier Microlite® Unit/Microlite System RV Trav-L-Pure® Camper Purifier BodyGuard Shower System
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What is the intended Primary Use	Residential Restaurant Commercial Camping/ Back Packing Canoe/Kayaking RV/Camper/Motorhome Sailboat/Power boat Domestic Travel Business Travel International Travel Emergency Preparedness Other
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Please send me Information by email mail facsimile
I am not sure about which General Ecology® Water Purifier or Micro Water Filter, I am interested in, please send me Information about systems for:
I know that I would like Information specifically on: (please check as many as apply):
RESIDENTIAL/COMMERCIAL/ RESTAURANT USE
Seagull® IV X-1F Water Purifier (avg. 1000 gal. capacity) Seagull® IV X-2K "Designer Series" Water Purifier (avg. 2000 gal. capacity) Seagull® IV X-6 Water Purifier (avg. 6000 gal. capacity) Spark-L-Pure® Water Filter (avg. 30,000+ gal. capacity)
OUTDOOR RECREATION/ TRAVEL
First Need® XL Portable Water Purifier - Outdoor Recreation First Need® Deluxe Portable Water Purifiers - Outdoor Recreation First Need® Trav-L-Pure Water Purifier - Travel First Need® Base Camp Portable Water Purifier - Group Camping Microlite® Micro Water Filter
MARINE/RV USE
Seagull® IV X-1 Water Purifiers (avg. 1000 gal. capacity) Seagull® IV X-2K "Designer Series" Water Purifier (avg. 2000 gal. capacity) Seagull® IV X-6 Water Purifier (avg. 6000 gal. capacity) Spark-L-Pure® Water Filter (avg. 30,000+ gal. capacity) Nature Pure® Water Purifier (avg. 500 gal. capacity) Dockside™ External Prefilter "RV" Trav-L-Pure® Purifier (avg. 125 gal. capacity)
Other please provide details:
Please add my email address to your newsletter list for occasional mailings: yes no
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