First Name, Last Name

Company Name (If applicable)

Email Address (will be used for sending delivery invoices)

Delivery Address:

How many 5-Gallon Bottles would you like delivered? (minimum of 4 bottles total)

Alkaline ($15 per bottle) or Purified ($10 per bottle) Water

Do you need to purchase a cooler or dispenser as well? If you know which you would like, please let us know here. Otherwise we can discuss options.

Let us know if you would like the delivery ASAP or a specific date.

Typically we recommend after loading your last bottle, you reach out to us 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

What other fees are there?

1. There is an $8 delivery fee (Delivery Fee is waived for your first delivery, and always waived for Middleton addresses)

2. One-Time Bottle Deposit. Refunded upon ending service and bottles being returned.

We will email and invoice before the first delivery.

Do you have any other question or anything we should know?