Water Ionizer Technical Support Form

Do you need technical assistance with your ionizer or have filtration questions? Please fill out the form below completely and click 'Submit'. This information will help us make sure your needs are addressed ASAP by the appropriately qualified person. Once you have submitted the completed form, a Tech Support Specialist will contact you via email within 1 business day, If you don't see our email within 1 business day, please check your junk or spam folder. We look forward to helping you! Please note: AlkaViva reserves the right to refuse incomplete forms.

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip/Postal Code *

Phone *

Email Address *

Date of Purchase *

Model Name *

Order Number *

Serial Number *

Place of Purchase * Type of Filters Installed

When Filters Were Last Installed

Is there pre-filtration being used?

If yes, please explain

Dealer's Name *

Briefly describe the reason for your request: