REO PURE 20 
FILTER REPLACEMENTS
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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 20 - 20 GALLON PER DAY REVERSE OSMOSIS RP-3-20/ RP-2-20
Replacement Filters:
Prefilter (RP-PRE) Pre $6.95 each.   PRE FILTER ONLY AVAILABLE IN A SIX PACK
Change every 6-12 Months 

Post filter (RP-POST) Post $19.95 each. Change every 1-2  years 
Membrane TFC  $75.00   For well water. Change every 4-5 years
Filter change intervals are approximate. 
Please use this as a guide.

Plus S&H  $17.95 In USA Only 

 (New Jersey residents add 7% 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 # ___________________________________ 3 Digit code (on back) _________
Exp. Date: ____________
Name on Card:_________________________ 

Billing address of card:_______________________________________
                                   _______________________________________

Signature: ____________________________________Date: _____________________
I have read and agree to Alpha Water Systems Inc Return Policy.

Items Ordered (Please do not forget to add the shipping charges to your total)
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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!





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