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Start Water Delivery Service

New Customer Water Delivery Inquiry

Click the button below to get started with delivery service.

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Question 1 of 13

First and Last Name

and Business Name (If applicable)

Question 2 of 13

Email Address (will be used for sending delivery invoices)

Question 3 of 13

Phone Number

Question 4 of 13

Delivery Address:

Question 5 of 13

What type of water would you like? 

(Select all that apply)
A

Purified

B

50/50 (Half Purified, Half Alkaline mixed together, around 8.5-9 pH)

C

Alkaline (High pH water with minerals added, over 10 pH)

Question 6 of 13

What Size Bottles?

(Select all that apply)
A

5 Gallon BPA-Free

B

3 Gallon BPA-Free

Question 7 of 13

We recommend after loading your last bottle, you fill out our easy delivery request form on our website or reach out to us by phone/email to request a delivery.

 

Deliveries are usually made 1-2 days after the request. If you would like a set schedule of automatic deliveries, let us know. Example: Delivery the first week of every month

A

I will request deliveries as needed

B

I would like a set schedule with automatic deliveries

Question 8 of 13

How many Bottles would you like delivered? (Typically a minimum of 4 bottles total, may increase depending on distance) If you selected more than 1 type of water, please specify how many bottles of each.

 

Question 9 of 13

Do you need to purchase a cooler or dispenser as well?

 

If yes, we will send an email with links to several options of either hot/cold dispensers with the option of top loading or bottom loading or room temp ceramic or similar style dispensers.

 

There is no obligation to purchase one of our options to start delivery service if you prefer to purchase your own cooler/dispenser elsewhere.

A

Yes, I need a cooler/dispenser and would like you to send me your options for purchase

B

No, I already have one

Question 10 of 13

Would you like the delivery as soon as possible or a specific date?

Question 11 of 13

What other fees are there?

 

1. There is a $10 delivery fee

 

2. One-Time Bottle Deposit of $5 per bottle.

 

If you have bottles from somewhere else, please let us know on the next question how many and we can adjust or waive the bottle deposit.

A

I understand

Question 12 of 13

How did you hear about us? 

Question 13 of 13

Do you have any other comments or questions?

Confirm and Submit