contact us

Feel free to ask us any questions, express any concerns, or request more information here.

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To request information on our free basic water analysis offer, which includes tests for Total Hardness, Total Iron, pH (acidity/alkalinity) and TDS (Total Dissolved Solids test for dissolved metals and salts). This is a free water test and there is no obligation for receiving this service.

 

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  1. Number of people living in the home?
  2. What type of water supply do you have?
    Municipal(city)
    Private Well
  3. Please check the boxes that apply to you:
    Spotty dishes/glassware Pinhole leaks in pipes
    Scale build-up on fixtures/shower heads Shortened hot water heater life
    Dry skin/scalp conditions Rust or "blue-green"stains
    Bad taste/odor (chlorine, rotten egg, metallic) Are you concerned about lead in your water?
    Other   

     

  4. Do you have a water softening system?
    Yes No

    If "yes" (check one)

    Rent
    Own


    What type? (check one)

    Culligan
    Other

     

  5. Are you currently using a filter system?
    Yes No

    If "yes" what type (check all that apply)

    Whole house Under-the-sink
    Single tap Faucet mounted

  6. Do you use bottled water?
    Yes No

    If "yes" where do you get it from?

    Supermarket
    Home delivery (name)

     

  7. Additional comments:

 



current customers

Current customers can use this form to contact us for any number of reasons, including billing inquiries, delivery requests, change of address and more.

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Click Here to find the Culligan Dealer nearest you or to request additional information about Culligan products and services.