Please fill out the following form to sign up for your Buyers Guide Listing/s. You will be sent a confirmation by return e-mail stating that we have received your order. If you are wanting listings in multiple sections with multiple categories and this form won't accommodate your request, you may submit listings by fax (316-835-2223) or by e-mail (advertising@uswaternews.com).

Please note the follow examples. One section checked and one category written constitutes 1 listing in the online Buyers Guide.

1. EXAMPLE of 1 listing: $99.00 (FREE Hot Link)

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Section Selected: MUNICIPAL WATER SUPPLY EQUIPMENT BUYERS GUIDE Category Written: Adjusting Rings

2. EXAMPLE of 3 listings: $137.00 (FREE Hot Link)
1st listing is $99.00, each additional listing is $19.00

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Sections Selected: GROUNDWATER REMEDIATION & MONITORING BUYERS GUIDE INSTRUMENTATION BUYERS GUIDE WATER WELL DRILLING/ COMPLETION BUYERS GUIDE Category Written: Data Loggers

3. DIFFERENT EXAMPLE of 3 listings: $137.00 (FREE Hot Link)
1st listing is $99.00, each additional listing is $19.00

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Section Selected: INSTRUMENTATION BUYERS GUIDE Category Written: Data Loggers Detectors Environmental Test Equipment

ATTENTION: Please read the following directions carefully and fill out all of the needed blanks below when placing your order to insert your Buyers Guide listings with us. There are 6 easy steps when signing up, please do all 6.

1. Place my listings in the following sections: (Select all that are needed. You must select at least 1 section. 9 different sections to choose from.)

GROUNDWATER REMEDIATION & MONITORING BUYERS GUIDE

INDUSTRIAL WATER AND WASTE-WATER TREATMENT BUYERS GUIDE

INSTRUMENTATION BUYERS GUIDE

MAINTENANCE EQUIPMENT, TOOLS & SUPPLIES BUYERS GUIDE

MUNICIPAL WATER SUPPLY EQUIPMENT BUYERS GUIDE

SOFTWARE BUYERS GUIDE

WASTEWATER/BIOSOLIDS TREATMENT & PROCESSING BUYERS GUIDE

WATER/WASTEWATER FILTRATION & TREATMENT BUYERS GUIDE

WATER WELL DRILLING/ COMPLETION BUYERS GUIDE

2. Here are the categories I am requesting written in the box below:

Are you not quite sure what we are requesting here? It would be best if you would visit our Buyers Guide and click on the sections you are interested in placing your listings in. Look at the Categories that already exist in each section. If you don't see an existing Category you like, you can write in the Category names you do like and we will add them to the Buyers Guide for you. Please write in any existing Category names and any NEW Category names you are wanting after each number. Add more numbers as needed. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

3. Here is my contact information:

   Your Name (Authorized By): 
                 Your E-mail: 
             Billing Address:       
                       City:   State: Zip:
 
 

Information below in this area will be the information listed in your Buyers Guide Listings. Please leave blank everything you DO NOT want in your listing.  

          Sales Contact Name: 
   
   Sales Contact Name E-mail: 
 
                Company Name: 
   
             Company Address: 
      
                       City:   State: Zip:
 
                       Phone:  Fax:
 
            Website Address:  
 

4. I select the following payment option:
(First time advertisers must pay in advance.)

                              
   Visa
   Mastercard
   I will call our credit card info. to you.
   I will fax our credit card info. to you.
   I will send a check.
   I need an invoice before sending a check.
   Please call me.

 
                Name on Card: 
      
                       Number: Exp. Date:
 

5. Verification of Insertion Order:

To verify and personalize this Insertion Order, we ask that you again type in your e-mail address below. It will act as your signature.  

                     E-mail  :
 

6. Submitting the form:

After you submit this form, you will be notified by e-mail of your order acceptance and be given directions on how and where to send any additional ad materials or corrections we might need. Thanks for your order!