Meter Revenue Information Survey
Please answer the following questions, typing your answers in the space provided. At the bottom of the questionnaire is a submit button. If you are satisfied with your answers, press the SUBMIT button. If at any time, you decide to not proceed, click the CLEAR FORM button. All answers will be removed and not recorded. Phone and Fax numbers will only be used for this survey. If you press the SUBMIT button, you will receive a confirmation with a sample of your answers.
  1. What is your name or your company's name?



  2. What is your phone number?

    Area code - Number

  3. What is your fax number?

    Area code - Number

  4. Who was your meter's manufacturer (Neptune, Schlumberger, Hersey, Rockwell, etc.)?



  5. What model is the meter (Tru/Flo, CT, Recordall, etc.)?



  6. What type of meter is it (Turbine, Compound, Fire)?



  7. What is the age of the meter (round to nearest year)?



  8. During one (1) full year, what was the revenue amount of the meter?



  9. What is the current water rate?



  10. What is the current sewer rate?



  11. When was the last time this meter was tested?

    (Month and Year, e.g. 03/95) mm yy

 

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