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Client Intake Form

Please take a moment to fill out the form.

First Name

Last Name

Name of Water/Utility Authority (if applicable)

Physical Address

Billing Address

Billing Email Address

Phone Number

Contacts and Titles

Source Water (surface, ground, purchase)

Active

Inactive

Commercial

Residential

Water Towers & Type (Include measurements if available)

Booster Pumps

Master Meters

PRVs

Pressure Plains

Groundwater Wells

Council/Board Meetings

Notes/Additional Items

Thanks for submitting!

Aaron.Mears@MearsEngineers.com

© 2025 Mears Engineers

Bethany, OK

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