Are you a bottled water victim?

If you consumed bottled water for many years, and then suffered a heart attack, atherosclerosis, hypertension, or stroke, you may be a victim of the bottled water industry. Almost all of the bottled water companies in the U.S. require that their waters have Alkalinity <300 mg/L, Hardness of <300 mg/L, pH of 6-8, and TDS <350 ppm. This is a prescription for heart attack, atherosclerosis, hypertension, and stroke. For more medical journal articles about drinking water, go to www.mgwater.com.

If you want to force the bottled water industry to clean up its act and stop killing consumers, and want a possibility of collecting big money for the injuries you have received from the bottled water industry, please fill out the form below and click on "SEND".

To improve the healthfulness of drinking water, I have sued in the US Ninth District Court which ruled that the deaths from Mg-deficient water "may exceed the Holocaust", but also ruled that the catastrophe should be addressed by the political process, not by the courts. I appealed to the Ninth Circuit Court of Appeals, and finally took it to the US Supreme Court. See: http://www.mgwater.com/legal.shtml

All these courts side-stepped the issue. Several lawyers have advised me that the courts prefer to address relatively simple matters, such as harm or wrong done to an individual or group, as such matters don't require much thinking, work, or courage to decide. So, I need victims of the bottled water industry to step forward and join a free Class Action lawsuit to get compensation for themselves, and help prevent future victims. Please fill in the form below, and "SEND" it to me. There will never be any cost to you, and you may reap very substantial compensation for your loss of health or the death of your loved one. Your information will be held strictly confidential.

Questions? Call Paul Mason, (408) 897-3023

Please fill out this form:

Your full name (required):

Your mailing address:

Street or PO
City
State
Zip
Country

Your telephone number:

Your e-mail address (required):

Are you the injured consumer? Or did a loved one die after consuming bottled water for years?

If you are the injured consumer,		His/Her name
skip to next question.		Date of death
		City
		State
		Zip
		Country

What illness caused the loss? (check all that apply):

	Heart Attack
	Atherosclerosis
	Hypertension
	Stroke

For how many years has the victim been drinking bottled water?

Years:

What brand(s) did the victim drink?

Brand #1:
Brand #2:
Brand #3:
Brand #4:
Brand #5:

How many liters of bottled water did the victim usually drink each day?

Liters:

Most victims have consumed other beverages besides bottled water. What is your best estimate of what percentage of the victim's daily liquid intake was bottled water? (Check whichever seems most accurate):

	10%			20%			30%			40%			50%
	60%			70%			80%			90%			100%

About how much money has the victim spent on medical expenses for this illness?

$

About how much wages or income has the victim lost so far because of this illness?

$

How much income will the victim likely lose between now and retirement at age 65?

$

How many people were/are dependent on the victim for love and companionship? (Please give names):

Spouse's name:
Children's names:
		age
		age
		age
		age
Other name:

How much money do you think the bottled water industry owes for the victim's illness and losses?

$

Do you have any comments, questions, or suggestions?

To complete the submission of your Statment, please read the "Victim's Agreement" below, and then click on "SEND".

Victim's Agreement

I agree and accept that Paul Mason is collecting this information to get the bottled water industry to stop harming consumers with magnesium-deficient water, and to get monetary compensation for all those victims like me who identify themselves. I further agree that Paul Mason cannot guarantee legal representation, and that Paul Mason may select a Class Action law firm to represent all victims of magnesium-deficient bottled water.

I agree           I Do Not agree.

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This Form was designed by:
Paul Mason, Editor
Magnesium Web Site
www.mgwater.com