Name:
____________________________________________________________
Address:___________________________________________________________
City :_______________________________________
State: _____________ Zip: ______________
Phone # (
) (
)
E-mail Address: ______________________________
My water is (circle one)
private well municipal chlorinated
community well
If you know your water readings
enter here: Iron(Fe) _______ppm Hardness(CaCo3)__________gpg
Have you ever sent us a water
sample: (circle one) yes
no
Do you need more information,
if so please fill out our online
form, or e-mail us or call
_________________________________________________________________________________
Reo-Pure
10
gallon per day Reverse Omosis Unit.
$295 +$25 S&H (USA)
= $320.00
Replacement Filters:
Prefilter (RP-10PRE) Pre
$6.95 Change at least once a year
Post filter (RP-10POST)
Post $19.95 Change every 1-2 years
Membrane TFC (No Chlorine)
$89.00 Well Water Change every 4-8 years
Membrane CTA (Chlorine OK)
$85.00 Municipal (City) Water Change every 4-6 years
Plus S&H $8.95
In USA Only
(New Jersey residents
add 6% sales tax)
Payment can be made by Check,
VISA or MASTER CARD.
ALPHA will notify you upon
receipt of order and review all of the equipment
ordered and verification
of shipping and handling.
Please make check payable
to: ALPHA WATER SYSTEMS INC
Credit card type: __________________
Card # ___________________________________
Exp. Date: ____________
Name on Card:_________________________
Signature: ______________________________________________
Date: _____________________
Items Ordered
__________________________
____________________________
____________________________
____________________________
____________________________
____________________________
Fax this form to us @ 973-293-8056
Mail this form to:
Alpha Water Systems Inc
P.O. Box 1210
Montague, N.J. 07827
You can also call, at 973-293-7856
or
E-Mail
us
with your order and info.
Worldwide Delivery Always
Available! |