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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information (to neip us Keep you current) , <br />Name Vo e'A he��� <br />Organization 1190,A Lulle <br />i �or�serycttve �ts`4�r�o`�" <br />Mail Address un vt i; - <br />E -Mai! J . <br />Organizational Needs (check box the best represents your situation 1 being substantial need, 5 being no <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 />Tech t1ical.Su Rlort for Water Conservation Implementation <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 Conservation Implementation <br />1 3 5 <br />❑ ❑ Q ❑ ❑ <br />0 0 o do <br />❑ <br />❑ <br />d <br />o <br />❑ <br />o <br />❑ <br />ra <br />❑ <br />o <br />0 <br />0 <br />0 <br />0 <br />91� <br />� <br />o <br />0 <br />a <br />a <br />❑ <br />❑ <br />d <br />a <br />❑ <br />❑ <br />d <br />❑ <br />❑ <br />o <br />0 0 o do <br />