Monthly Meter Reads
Please fill out & Submit
Store Phone Number
How is your Ultra-Pure Equipment working?
It's working; but requires some maintenance
It is not working; and I have not called for service.
It is not working; Service is working on resolving the issue.
Additional information about your systems status.
Please enter both the Serial Number & Meter Read for all your meters; if you have more that four meters, please submit multiple forms.
Be sure enter the date the read was taken; the serial number, and the full 7 or 8 digit meter read for
To avoid confusion on the meter reads, please enter the complete numbers as displayed (
including all "0" and partial numbers
Date of Meter Read
Meter #1 - Serial Number
Meter # 1 - Meter Read
Meter #2 - Serial Number
Meter # 2 - Meter Read
Meter #3 - Serial Number
Meter # 3 - Meter Read
Meter # 4 - Serial Number
Meter # 4 - Meter Read
This section is to help us ensure we have your correct email addresses.
If you have already filled this out; don't worry, just keep us posted if changes occur.
Meter Read Request Email
Please feel free to leave us a message on how we can service you better.
Thank you for using our
; once submitted it will take you to our
Toll Free at 1-800-284-6315 |