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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information (to help us keep you current) <br />Name .V ' a/ e Jo K /,5 0 A - <br />Organization fa ci 1A I-e-r <br />Mail Address I t Olt G ° <br />E -Mail / 0 �a r e s k- Go <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />neea) <br />Information on Water Conservation Planning <br />Information on Water Conservation Measures and Programs <br />Technical Support for Water Conservation Planning <br />General Planning <br />Water System Mapping and Evaluations <br />Applicability of Specific Measures and Programs <br />Financial Analyses (i.e., pricing water) <br />Monitoring and Measuring <br />Updates and Revisions <br />Technical Support for Water Conservation Im lep menLation <br />Communications /Publicity /Messaging <br />Education <br />Outdoor Use <br />Indoor Use <br />Leak Detection and Repair <br />Alternative Water Supplies <br />Monitoring and Measuring <br />Financial Support for Water Conservation Planning <br />Financial Support for Water Conservati nQ implementation <br />1 3 5 <br />❑ 0 ❑ ❑ ❑ <br />❑ ❑ q ❑ ❑ <br />�I <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />Cl <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />❑ <br />❑ <br />❑ <br />❑ <br />a <br />❑ <br />❑ <br />❑ <br />la <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />5ib <br />❑ <br />❑ <br />❑ <br />❑ <br />.a <br />❑ <br />❑ <br />�I <br />