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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 2 2 ` , / <br />l � <br />Organization Tn 0 !� J <br />Mail Addres +'i✓ r # A ,� • 7 <br />--E -Mail <br />Organizational Needs (check box the best represents your situation I being substantial need, 5 being no <br />need) <br />Information on Water Conservation Planning <br />Information on Water Conservation Measures and Proarams <br />Technical Support for Water Conservation Plannina <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 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 />2/ ❑ ❑ ❑ ❑ <br />❑ ❑ ❑ ❑ <br />M,-' El ❑ ❑ ❑ <br />❑ ❑ ❑ ❑ ❑ <br />❑ Q' ❑ ❑ ❑ <br />6/ ❑ ❑ ❑ <br />❑ ❑ ❑ <br />❑ d ❑ ❑ ❑ <br />rte❑ <br />❑ <br />❑ <br />❑ <br />D <br />El <br />C1 <br />El <br />C3 <br />1:1 <br />C3 <br />❑ <br />d <br />a <br />❑ <br />a <br />d <br />o <br />0 <br />0 <br />0 <br />�0000 <br />