#Testing Water Station Events - Contact Us - Springfield Water and Sewer Commission

#Testing Water Station Events – Contact Us

Water Station Sign-up Form

"*" indicates required fields

Event Name*

Is this a multi-day event?*

Event Date*

Event Start Date*

Event End Date*

Event Address

Location Name

Street Address*

Address Line 2

City*

State*

ZIP Code*

Event Address

Where at the event address should the water station be setup?*

If your event is a multi-day event, and any of the times below differ from day to day, please note that at the bottom of the form under "Is there any additional information you would like to provide?"

What time will the event start?*

What time will the event end?*

What is the requested water station setup time?*

What is the requested water station breakdown time?*

How many people do you expect to attend your event?*

We use this to estimate the number of refillable bottles and recyclable cups to prepare.

Have you used our water station services in the past?*

What is the name of your organization?*

Who is the Event Organizer?*

First Last

Organizer Phone*

Organizer Email*

Will the point of contact on the day of the event be the same as the Event Organizer?*

Who will be the point of contact on the day of the event?*

First Last

Contact Phone*

Contact Email*

Is there any additional information you would like to provide?

CAPTCHA

I WANT TO…