First Name:
     
Middle Intital:
     
Last Name:
     
Street Address:
 
Apt #: 
City:
     
State:
     
Zip/Postal Code:
     
Phone:
     
Email:
     
Catalog Item Number
(ie 25 Watt):
     
Serial Number:
     
Date of Purchase:
     
Purchased From:
     

Here at Aqua Ultraviolet we are interested in your comments about our products. Please take the time to complete this questionnaire to help us satisfy your needs.

What type of store did you purchase this product from?

Contractor Supply Pet Supply Industrial Supply
Pond Supply Hardware Supply Building Supply
Internet Mail Order Other
   

How Did you first learn about this Aqua Ultraviolet Product?

Previous Owner Distributor's Recommendation Friend's Recommendation
Job Site Demonstration Internet Website Trade Journal
Store Display Trade Show Distributor's Catologue
Other    
   

Is this your first purchase of an Aqua Ultraviolet Product?     Yes     No

Did the Packaging of this product meet your satisfaction?     Yes     No

Were all the required parts and instructions included with your product?     Yes     No

Were the instructions clear and informative?     Yes     No

Did you install the product yourself?     Yes     No

Fill this out only if the items were purchased for a Fish or Water Feature Environment. Other Products owned:

Type of UVs Type of Filters Type of Pump

Any Comments?

Thank you for purchasing Aqua UV Products.

   

UV Sizing Chart Instruction Manuals Installation Video Brochures Filter Sizing Charts Which Product Do I Have? Unit Measurement Diagrams UV Tests FAQs