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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 7 evo G; le- s <br />Organization Town o-C 0 i 11 o n <br />Mail Address P. O. 6 0X 8 i on y oyes <br />E -Mail - fir -c vow tQ 4ip jo a L!L (I on c ad <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />needl <br />1 <br />3 <br />5 <br />Information <br />on Wa�onserv_atio_ Pry lanning <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Information <br />on Water Conservation Measures and Programs <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />Technical <br />Support for Water Conservation Planning <br />General Planning <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />a <br />❑ <br />Financial Analyses (i.e., pricing water) <br />® <br />0 <br />❑ <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />C7 <br />❑ <br />® <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />a <br />❑ <br />❑ <br />Technical <br />Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Education <br />❑ <br />❑ <br />® <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />M <br />❑ <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />❑ <br />❑ <br />® <br />❑ <br />Leak Detection and Repair - <br />❑ <br />❑ <br />❑ <br />❑ <br />N <br />Alternative Water Supplies <br />❑ <br />❑ <br />❑ <br />M <br />❑ <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />n <br />❑ <br />Financial <br />Sport f i Water Conservation Plannino <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial <br />Support for Water Conservation Implementation <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />W4 <br />Katie. c- 5 f-4- o4 2 a.Hk p ^bA&4cc r a " 4f <br />Soo = <br />r <br />