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Free Personalized Drinking Water Savings Analysis

For Your Free Personalized Cost Analysis, Please fill out this questionnaire completely and we will send you your results shortly. This information will not be sold and will be held in strict confidence. Please provide your phone number and the best time to reach you. We look forward to answering your questions and concerns.
Once you have completed the information below, please copy this section and paste it in an email to: HealthyWater4Less@yahoo.com and put "Tell Me More about..." as the Subject.
Start Copy Here
Your Full Name:
Company:
Title:
Street Address:
Mailing Address
(if different):
City/Town:
State/Prov.: Post./Zip Code:
Country:
Phone (w/area code):
Best Time I Can Reach You:
Fax:
E-mail Address:

1. Do You Drink Water?
      Yes, I do

      No, I don't

2. Do You Drink The Medically Recommended Amount Daily?
      Yes, I do

      No, I don't

3. Do you currently own any kind of water filter?
      Yes (Please specify which brand)

      No

    A. If you do own a water filter, approximately how often do you change the filter?
    B. How much do each of the filter replacements cost?
    C. How many gallons do each of the filter replacements filter?
    D. Are you happy with the performance of your water filtration system?
      Yes, I am

      No, I am not (Please specify)

    E. Are you happy with the quality of water that your filter produces?
      Yes, I am

      No, I am not (Please specify)


    4. Which of these types of water do you currently use for drinking or cooking purposes? (Please check all that apply)
      City
      Well
      Filtered
      Tap
      Bottled
      Other (Please Specify)

    5. Do you currently use bottled water?
      Yes
        From store
        From machine
        Delivered
      No

    A. If you do use bottled water, approximately how many gallons per month?
    B. If you do use bottled water, approximately how much do you pay per gallon?

    6. How many other people do you know who use bottled water?
      1-3
      4-6
      7-10
      10+

    7. Did you know that many contaminants which may be found in the water can not be seen or tasted?
      Yes, I did

      No, I didn't

    8. Are you aware that 70% of your body weight is water?
      Yes

      No

    9. Are You Concerned About The Quality Of Your Drinking Water?
      Yes

      No

    10. Are there any specific contaminants that you are concerned most about?
      Yes
      No

    If Yes, Please Specify:

    11. If you could have an unlimited supply of better tasting, healthier water for pennies per gallon, would you be interested?
      Yes

      No

    12. How many are in your household?

    13. Do you own or rent your home?
      Rent
      Own

    14. Are you interested in a home-based business?
      Yes
      No

    15. Are you interested in fund-raising opportunities for a group or organization?
      Yes
      No

    16. Where did you hear about my webpage?
      Search Engine
      E-Mail
      Referred By (Please Insert Name)
      Other (Please Specify)

    17. Questions, Comments or Suggestions?
           We'd like to hear what you have to say!
    End Copy Here

    Thank you for visiting ...

    Quality Cost Effective Water Filtration - Click Here for more details.
    Drinking Water Systems First to be Tested and Certified to Reduce Arsenic V, MTBE and Chloramine!!! Read more about it, Click Here !


    Contact US

    For More Information about Our Company, Our Outstanding Products, Pricing and Order Information and/or our Phenomenal Business Opportunity Please Call: Roger and Cynthia Gallimore, Distributor ID#269143, anytime at (423) 765-1170 or Call us Toll Free within the United States at 1-877-Wow-HealthyWaterAtHome ( 1-877-969-4325 ) If you get our voice mail, please leave a message and we will call you right back. We look forward to answering your questions and concerns.

    Please Send E-Mail inquiries to: gallimore@multipureusa.com and put "Tell Me More about..." as the Subject. Please provide your phone number and the best time to reach you and indicate what specific information you're interested in. To expedite your response time, please call us, and we will be sure to address your questions or concerns.

    Distributors can get a Personal Corporate Link for a nominal monthly fee as low as $10.00 per month. Click Here to see mine.

    Independent Multi-Pure Distributor Since 1994 ID# 269143

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    "A candle loses nothing by lighting another candle."- Anonymous
    Remember: yoU should think... About the Water yoU Drink! Is it safe? Why buy questionable water anywhere else, when you can effectively filter your own for pennies a gallon?
    "You'll save more with Gallimore - The Affordable Alternative To Bottled Water".
    If you don't have a water filter, YOU are the filter.
    Celebrate Earth Day, Every Day. Conserve Water and Save Money. Read More About It: Click Here
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