WQMN TEST PAGE

WQMN JOINING FORM (NOT FOR RE-ORDERING CONSUMABLES)

Form for new applicants / volunteers to join the WQMN.

Name(Required)

Club or Organisation Name (If Applicable)(Required)

Position in Club or Organisation (If Applicable)(Required)

Secretary, team captain, etc.

How Are You Funding The Purchase Of WQMN Equipment(Required)

Own Private Funding

Club / Organisation Funds

Funded Through A Third Party (Please state below)

Funded by...(Required)

What type of kit do you Require

Standard Kit

Advanced kit to include Ammonia Checker (additional £ )

Club Address or your Address (for postage)(Required)

Email(Required)

Contact Telephone Number(Required)

Any further relevant information

Form for the re-ordering of re-agents / consumables.

Name(Required)

Club Or Organisation Name (If Applicable)(Required)

Position in Club or Organisation (If Applicable)(Required)

Secretary, team captain, etc.

Club Address or your Address (for postage)(Required)

Email(Required)

Contact Telephone Number(Required)

Required Consumables

Yellow Flambeau Box....£

Electrical Conductivity & Temperature Probe..£

Hanna Phosphate Checker...£

Hanna Ammonia Checker....£

Nitrate Test Strips.....£

Phosphate Re-agent.....£

Ammonia Re-agent.....£

Any further relevant information