Canadian Water Treatment Listing Form

T R E A TMEN TCANADIAN1 of 22007 Canadian Water Treatment Buyer’s GuidePlease mail or return this form by fax to: Canadian Water Treatment c/o We Communications Inc. 7 – 1080 Waverley Street, Winnipeg, MB, Canada R3T 5S4Fax: 204-582-9800Basic Listing (please print)Company Name:Street Address:City: Province/State: Postal/Zip Code: Telephone: Fax: E-mail: Website:Contact Name: Signature: (Please print) (Listing will not be processed without signature)I am a: o Manufacturer o Supplier o Distributor Please provide me with: o FREE Basic Listingo $ 95.00* Extra Listing: A basic listing plus a bold company name and a 50-word description.o $145.00** Logo Listing: An extra listing plus a black and white company logo.o $195.00*** Super Listing: A colour logo and listing with links in the online version.Canadian companies must include GST (6%) as follows: * Extra Listing: $ 95.00 + $ 5.70 = $100.70 ** Logo Listing: $145.00 + $ 8.70 = $153.70*** Super Listing: $195.00 + $11.70 = $206.70NOTE: Company description can be provided by e-mail with your company logo in JPG, PDF, EPS or TIFF format (300 dpi resolution at final size). Please send your text and/or logo to publishing@wecommunications.ca.Payment Method: Now Available - Visa and Mastercard payments are now accepted. Fill out the section below as to your preferred payment option.o VISA Printed Name: Signature: o Mastercard Card Number: Expiry date: o My payment is enclosed (payable to We Communications Inc.)o Please invoice me, my P.O. number is: Please complete the following to have your company listed in the Product Categories section. All companies will appear alphabetically in this section with the listing type as chosen on the previous page.Product Categories: Please check off a maximum of five categories. Extra selections will be charged at $15 per category.o Air Purification: Air to Water Equipmento Analyzerso Arsenic Removalo Bottle Caps, Closures and Handleso Bottled Watero Bottled Water Appliances/Coolerso Bottling Equipmento Carbon Blocko Carbon Filtration Equipmento Carbon, Activatedo Carbon, Granular Activatedo Carbon, Silver Impregnatedo Carbonation Equipmento Chemical Water Treatmento Chemical Well Treatmento Chlorinatorso Chlorineo Chlorine Removal Systemso Chlorine Testing Equipmento Clarifierso Computer Consultantso Computer Serviceso Consultants, Water Treatmento Cooling Water Chemicals/Treatmento Couplingso Cyst Reductiono Desalination Systemso Dialysiso Disinfectantso Dispensing Equipmento Distiller Equipment/Componentso Distribution, Components/Systemso Drinking Water Systemso Effluent Treatment Chemicals/Equipmento Engineering Serviceso Exchange Tanks and Partso Fastenerso Faucet Attachments, Filtero Faucetso Filter Aidso Filter Mediao Filter Systemso Filters, Well Water Financingo Fittings & Connectorso Fittings, Mounting Clipso Fittings, Quick Connecto Flow Controlso Flow Measuring Equipmento Gasketso Gaugeso High Pressure Cleaning Systemso High Purity Water Systemso Hoseo Hot Water Systemso Housingso Injection Equipmento Instrumentationo Iodinizerso Iron Removalo Laboratory Equipmento Laboratory Serviceso Lamps, Sterilizingo Lead Removalo Marketing Serviceso Membraneso Metals Removalo Meterso Microbiocideso Monitorso MTBE Removalo Nitrate Removalo Oxygen Generatorso Ozone Systemso Phosphateso Pipeo Plastic Moldingo Polyphosphateso Portable Purifying Unitso Pumpso Reclamation Systemso Regulatorso Resin Supplierso R.O. Equipment/Componentso Rust Removalo Salt Supplierso Sanitizerso Scale Removalo Sensing Equipmento Softener Components/Accessorieso Solenoidso Sterilizerso Strainerso Sulphur Removalo Tanks o TDS Indicatorso Testing Equipment/Serviceso Timerso Tubingo Turbidimeterso Ultrafiltration Systemso Ultraviolet Systemso Valveso Water Conditionerso Water Conservation Deviceso Water Coolers and Equipmento Water Meterso Water Softenerso Water Store Equipmento Water Vending Machineso Well Treatment Supplieso Whole House Systems2 of 2