* Required Fields
Contact Person*
Company
Email Address*
Phone Number*
Address*
City*
Province/State*
Country*
Smart Valve™ Size* ---0.75 Inch1 Inch1.5 Inch2 Inch3 Inch4 Inch6 Inch8 Inch10 Inch12 Inch
Distributor*
Invoice* (Only PDF, doc and docx accepted)
Invoice Number*
Invoice Date*
Installation Address*
Installation Date*
Installed By* (Name of plumbing company or in-house plumber)
Attach Photo of Installed Smart Valve™* (Only jpg, jpeg, png and gif accepted)
Attach Additional Photo (Only jpg, jpeg, png and gif accepted)
Primary Water Usage* (potable/drinking water, irrigation, manufacturing, other; please describe)
Property Type* (single-family home, multi-tenant apartment, hotel, restaurant, car wash, etc.)
Building Number of Stories*
Water Company/Municipality*
Approximate City Water Pressure at Property*