#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*

Event 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?*

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?*

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…