System Partnership Survey

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* 1. Please provide your state

State/Province

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* 2. Please select which of the below best describes your system.

Municipal

Non-municipal (district, co-op, regional, special service district)

Privately owned

Other (please specify)

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* 3. Population served by your system - please use whole numbers . To calculate population from meters, use 2.5 persons per meter.

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* 4. Please select all that apply

My system does provide services to other systems

My system does NOT provide services to other systems

My system receives services from another system(s)

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* 5. Number of other systems your system provides services to. Please use whole numbers, ie., 1, 5, 8

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* 6. If your system provides or receives services to/from other systems, please mark all that apply.

Emergency connection

Wholesale of water

Contract operations

Contract management

Shared billing support and other administrative services

Other (please specify)

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* 7. We welcome any other information or comments.