Information Request Form

Select the items that apply, and then let us know how to contact you.
- Send product literature
- Send a safety data sheet (SDS)
- Send company literature
- Have a salesperson contact me
Name
First Last
Title
Company
Address
Street Address Address Line 2 City State ZIP Code
Email
Phone
Product Name
Date Purchased (only if requesting SDS)
MM slash DD slash YYYY
Human Test. What is 7 + 5?*
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CONTACT INFORMATION

Phone: 262-251-4977
Fax: 262-251-5342
E-Mail: alliancegroup@agiwater.com

P.O. Box 790
N114 W18621 Clinton Drive
Germantown, WI 53022

AGI currently has distributors located in the following states:

To contact one of our distributors, please call AGI at 262-251-4977.