ALPHA WATER SYSTEMS  INC

Order Form:

PLEASE COMPLETE AND WE WILL CALL YOU BACK FOR 
     PAYMENT/CREDIT CARD INFORMATION. 
  OR
PRINT OUR CREDIT CARD AUTHORIZATION 
FORM AND FAX IT.
THANK YOU!
 
Name: 

Email:
Daytime Phone:

Fax:
Shipping Address:
Street or P.O. Address:

City:

State: 

Zip/Postal Code: 
Mailing Address: (if different from shipping)
Street or P.O. Address:

City:

State:

Zip/Postal Code: 
We only ship up to 2 lbs to p.o. boxes. 
Please allow UPS up to 10 days to deliver your product (USA)
Standard Delivery (Priority Mail USPS for items under 50 lbs, can be 3 days) (UPS & Roadway/Ward on products exceeding 50 LBS)
Second day air (if checked - you agree to pay the 
additional costs for faster shipping) - Required for Alaska or Hawaii.
Next day air (if checked - you agree to pay the 
additional costs for faster shipping)

PLEASE COMPLETE THIS FORM  AND WE WILL CALL YOU BACK FOR  PAYMENT/ CREDIT CARD INFORMATION.
OR 
PRINT OUR CREDIT CARD AUTHORIZATION FORM AND FAX IT.


 
  
Qty  Description/model  Cost Ea.   Total    
If you need more room, just submit a second page
and note in the comments section below that the order is continued. 
Product Subtotal
NJ residents add 6% sales tax
Subtotal
Handling: 00
 Shipping
Other
Total Order
Method of payment: 

We accept 

YOU CAN PRINT THE  CREDIT CARD AUTHORIZATION FORM. AND FAX

OR

USE THIS ORDER FORM AND WE WILL CALL YOU BACK FOR PAYMENT INFORMATION

(THANK YOU)

ANY QUESTIONS? 973-293-7856

OR

Please make check or money order 

in U.S. funds payable to: 
Alpha Water Systems Inc

We will email to confirm receipt of check and send a copy of your invoice!

Note: We will ship within 24-48 hours, Monday through Friday.

Holiday season can mean shipping delays!

(If we're unable to do so, we'll notify you as soon as possible) 


Warranty
Return Policy
 

Any other comments or questions?

 
 

ALPHA WATER SYSTEMS INC

P.O. BOX 1210

MONTAGUE, N.J. 07827 

973-293-7856 FAX:973-293-8056

EMAIL:alphasys@warwick.net



 

IF YOU ARE HAVING ANY PROBLEMS PLEASE GO TO THE PRINTABLE ORDER FORM

PRINTABLE ORDER FORM

RETURN POLICY

CREDIT CARD FORM