Customer Registration
 
 
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email Address:
 
Password must be 8 or more, contain at least one number.
 
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Repeat Password:
 
 
Firm Name:
 
 
Firm Address:
 
 
Firm City:
 
 
Firm State:
 
 
Firm Zip:
 
 
Firm Phone:
 
Up to 4 firm contacts that will receive emails of completed forms.
 
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Online User Agreement / Terms & Conditions
 
  • This software is developed for the tester by a Tester.
  • Our Mission is to be an asset, a reach back, that can even help with technical questions about backflow testing and repair.
  • All information associated with any backflow assembly test submittal and transaction is true and accurate
  • All licenses / registrations are current and valid at the time and date of any given backflow assembly test submittal and transaction.
  • Access to the City of Houston form is free of charge to all registered users. Access to other forms is available at the low fee of $150.00 per year. The membership includes unlimited testers.
  • Any and all information associated with a given water customer's backflow assembly, annual test report, or general information is the property of the backflow assembly owner.
  • BackflowTestReport.com will not access, use, or sell any information provided by the customer for any reason other than to correct a problem with software related issues. We Treat all information as Confidential.
  • All backflow test / certification results and comments are for the express and mutual consent of the Federal, State, and Local authorities having jurisdiction.
  • All backflow test results submitted are true and all tests deemed valid meet operating parameters of the authority having jurisdiction.
  • For each backflow report submitted, I understand there will be $0.0 fees charged. There is no per form charge.
  • A read-only, PDF copy of each backflow assembly test report submitted will be sent via email to the test company submitting the backflow assembly test report immediately (This does not remove the need to leave a copy of the Backflow Test Report on Site). Please follow all regulations within a given water system.
  • The methods and procedures used within BackflowTestReport.com are the property of BackflowTestReport.com
  • Failure to agree to the terms listed herein will prevent me from using this software at BackflowTestReport.com
  • If you have any Questions about the Software or Capabilities of the software, Please, Call or Text 713-518-9660. We may also be emailed at Dan@backflowtestreport.com If you have any suggestions for improvement or would like us to add your form to our catalog simply contact us so we can help.
  • Pricing, Terms and Conditions are subject to change without prior notice at any time.
 
 
 I have read & accept the terms & conditions of using this software.
 
 
 I choose to sign up now for all available forms, $150 / year, includes unlimited testers.
 
 
 I choose to sign up now for the free Dallas, Houston forms.