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Water Filters Orderform, Water Filters, water purifiers-Pure Drinking Water filters
Water Filters: Water Filters, water purifiers-Pure Drinking Water filters
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Water Filters, Water of Life, Water

Water Filters, Water Filtering, Water

WATER OF LIFE SECURE ORDER FORM

If you have any questions about ordering, please call us at (307) 787-6800 and we'd be glad to help! Please be assured that all information is confidential, and will not be shared with anyone for any reason.

Order by Mail - print out the order form. Send completed form with check, money order or credit card to Water of Life, Water Purification Product, P.O. Box 850, Lyman, Wyoming 82937.

Order by E-mail - fill out the order form along with your credit card information and then click "submit"

Please check your email within 48 hours. If you do not receive a confirmation of your order then we did not receive it. AOL Users may have a problem sending this form so please send us an email with your name, address and email so we may check to see if your form came in. To reorder, please give us a call at (307) 787-6800 and we will take your order over the phone. Thank you and have a great day!

Step 1 - Secure Order Information:

Name:

E-Mail:

Address:

City:

State:

Zip:

Phone:

Shipping Address: If different from above
(NO Post Office Box)

Name:

Address:

City:

State:

Zip:

STEP 2 - Select Method of Payment - AREA IS SECURED!

Money Order
COD

All Checks, Money Orders are Payable to:

WATER OF LIFE
Water Purification Product
P.O. Box 850, Lyman, Wyoming 82937
(307) 787-6800
USA

Credit Card

SECURE Credit Card Payment: Amex/Visa/MC accepted
If you wish not to leave your Credit Card

(All Credit Card orders are secured and encrypted when emailed!) , E-mail us your phone number or give us a call at (307) 787-6800 and we will take your credit card number over the phone.

When Paying By Credit Card, please provide your
Credit Card information here ($US only)

Enter Credit Card Information:

Credit Card:
Name & Type
(e.g. Citibank, Visa)

Card Numbers

 

Exp. Date #

 

Credit Card Billing Address:

Name:

Address:

City:

State:

Zip:

STEP 3 - Select Items You Wish to Purchase

Item

Quantity

Total Price

Comments

Shipping $5.00 per kit

Sub Total

Shipping

Total

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Water Filters, Water Filtering, Water

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Water Filters, Water Filtering, Water

Water of Life
Water Purification Product
P.O. Box 850, Lyman, Wyoming 82937
(307) 787-6800
Toll Free: 877-738-2217
jbridge@union-tel.com