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Water Conservation Workshops <br />Participant Survey <br />Information Regarding Potential Needs for Technical and Financial Assistance <br />Contact Information Ito help us Keep you current <br />Name <br />Organization L;9 Lao <br />DD An ' �'' I u <br />Mail Address t f " a /r I 0 u M 6 ti <br />E -Mail ,b a 01 Ce r - - i r k® a <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />neeel I <br />l <br />3 <br />5 <br />Information on Water Conservation Plannina <br />N <br />❑ <br />❑ <br />❑ <br />❑ <br />Information on Water Conservation Measures and Programs <br />Q <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Plannina <br />General Planning <br />❑ <br />❑ <br />❑ <br />❑ <br />Water System Mapping and Evaluations <br />J 3 <br />❑ <br />❑ <br />❑ <br />❑ <br />Applicability of Specific Measures and Programs <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Analyses (i.e., pricing water) <br />❑ <br />❑ <br />[3 <br />❑ <br />❑ <br />Monitoring and Measuring <br />❑ <br />�9 <br />❑ <br />❑ <br />❑ <br />Updates and Revisions <br />❑ <br />❑ <br />❑ <br />❑ <br />Technical Support for Water Conservation Implementation <br />Communications /Publicity /Messaging <br />❑ <br />❑ <br />❑ <br />1:1 <br />13 <br />Education <br />❑ <br />pg <br />❑ <br />❑ <br />❑ <br />Outdoor Use <br />❑ <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />Indoor Use <br />❑ <br />[P <br />❑ <br />❑ <br />❑ <br />Leak Detection and Repair <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />Alternative Water Supplies <br />Monitoring and Measuring <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Conservation Plannina <br />[� <br />❑ <br />❑ <br />❑ <br />❑ <br />Financial Support for Water Con ervation Implementation <br />❑ <br />❑ <br />❑ <br />❑ <br />