Sukapi Water "Good Water"
 
Water Treatment and Purification
Bottled Water and Dispensers
 
Contact Form
This form provides an easy way to contact us.
Please fill in the appropriate information then submit the form using the button at the bottom of this page. Many optional fields provide a quick way for you to let us know your interests or concerns. We respect your privacy and do not share your information with other parties.
 
*Yellow fields must be filled in.
*First Name
Middle Initial
*Last Name
*Address
*Town or City
*Province
*Postal Code
*Phone
 - -
Fax
 - -
*Email
 
I would like a free water analysis
 



 
 
Feel free to send a text message if you like.
 
 
I am interested in:
Residential products
Commercial products
 
What type of water supply do you have?
Municipal
Private well
Pond
 
Check boxes that apply to you:
Spotty dishes/glassware
Scale build-up on fixtures
Cloudy water
Blue-green stains
Rust or black stains
Bad taste/odor
Shortened hot water heater life
Dry skin/scalp
I am concerned about lead in my water
I am concerned about pesticides/herbicides in my water
I am concerned about pathogens in my water
   
Please check the water treatment devices you currently use.
Water softener
Whole house filter
Under-the-sink fixture
Pitcher filter
Faucet mounted
Other
None
   
Select the type of bottled water you currently use.
Single serve bottles
Delivered 5 gallon
Store bought 5 gallon
Other
None
  
How would you prefer to be contacted?
 




 
When is the best time to contact you?
Early Morning
Late Morning
Early Afternoon
Late Afternoon
Early Evening
 
To ensure your privacy, the Canadian federal government legislated the Personal Information Protection and Electronic Documents Act (PIPEDA) to establish rules governing the collection, use and disclosure of Personal Information by the private sector. By submitting this form you are giving Sukapi Water consent to collect, use and disclose your personal information following guidelines set by PIPEDA which are reflected in our privacy statement. We do not share or sell your personal information.