Yes, I want to be listed in the Directory of Water Experts!

q   Free Listing: Upon approval by Water Strategist Community, all water experts are given a free listing in the Directory of Water Experts.  The free listing includes name of the firm, name of contact, and telephone number.   
Free listing to read:  
Firm Name:_______________________________________________ Phone:___________________________________________________
Contact:__________________________________________________
Category for Listing: (see categories below)________________________
State(s) for Listing (up to two): _________________________________ 
Email: (not published)________________________________________

q   Text-Only Listing: The listing information provided below, link to website address, and a 50-word description will be displayed.  

                                              q 6 months at $20/month

                q 12 months at $15/month

q   Premium Listing: The listing information provided below, link to website address, a 50-word description and 125x60 logo will be displayed

                                               q 6 months at $40/month

              q 12 months at $35/month

    Listing Information

Please indicate below the states in which you would like to have your firm listed.  The above rate includes your listing in two states.  $10 will be charged for each additional state.__________________________________________________

Firm Name:__________________________________Contact:_______________________________ Email:_______________________________________ Website:_____________________________ Address:_________________________________________________________________________
City:______________________________________________State:___________ Zip:___________ 
Phone:_______________________________ Fax:_______________________________________

Choose one category.

Billing Information

q      Pay online by going to www.waterchat.com  and clicking on the “Water Information Store” link  at the bottom left of the home-page
q      Pay by check (Written to: Water Strategist)
q      Pay by Credit card: Card type:
q      Visa   q      MasterCard   q      Discover

Card Number: _______________________________________
Name on Card:_______________________________________
Card Exp. Date: ______________________________________     

Please email the 125x60 gif logo and the 50-word company profile to directory@waterstrategist.com.
Mail or fax the completed form to Water Strategist. 

Water Strategist, P.O. Box 963, Claremont, CA. 91711
Phone: (888) 642-9920 ext.202 Fax: (909) 981-8573