Qleanse Ditch The Wipes Partnership Program
Thank you for your interest in the initiative to help residents ditch their wipes and make the switch to a safer alternative with Qleanse. Please complete the following information to help determine if this partnership is a good fit for your city and to help us build custom program offers. Product samples limited to wasterwater utility personnel.
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Email *
Name (First & Last) *
Name of Company/Wastewater Utility *
Title/Position *
Phone Number *
Address *
How many residents does your wasterwater utility cover? *
Rate the effectiveness of the methods your city may have tried to increase awareness of the wet wipe issue
1 - Not Effective
2
3
4
5 - Very Effective
NA - Not Tried
TV News Education
Social Media Education
Newspaper Education
Online ads Education
Other efforts (describe in comments below)
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For "Other" above, please describe the issue
Estimate the yearly cost your city incurs to manage, prevent and repair sewer system damange caused by wet-wipes
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Which public location(s) would be ideal to place a disposal bin for your residents to trade in their wet wipes for Qleanse? *
Required
Do you have any other questions or comments for us?
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