ORDER FORM
Drinking Water Products and Systems

There are many water filters on the market. We are distributors of a certain major brand of water filter. This is the same water filter we use ourselves so we know it works. We are prohibited by the company from advertising it on the Internet. It is our feeling that you, the viewer, need to know about this filter. If you sign up as a distributor with us, you can purchase the filter and related products at a saving. As a distributor you can purchase everything at the distributor or wholesale price level saving about 23%+! Just to become a distributor to purchase at these discounts is worth it! If you want to become a distributor working with us, and would like to know the name of the company and the products, call us at 480 899 4463 (USA). If you are interested, we also have other options available which do not involve selling anything.


JavaFILE
Qty.
Product
Code
Product Description
List Price
Distributor Price
Shipping &
Handling*

Total

1000
#1 Countertop System
$259.95
$210.00
$5.00
1001
#2 Below Sink System
$329.95
$280.00
$5.00
1002
#2 Countertop System
$329.95
$280.00
$5.00
1003
#3 Basic Unit (Inline)
$294.95
$250.00
$5.00
1004
#4 System w/Capacity Monitor
$379.95
$330.00
$6.00
1005
#5 Countertop System (Plastic)
$189.95
$150.00
$5.00
1006
#6 Reverse Osmosis System
$649.95
$600.00
$10.00
1007
#7 Whole House System
$369.95
$320.00
$10.00
1008
Replacement Filter for
1001, 1004, and 1000
$37.95
$37.95
$5.00
1009
Replacement Filter for 1005
$31.95
$31.95
$5.00
1010
Replacement Filter for
Demo/Rental Unit
$31.95
$31.95
$5.00
1011
Replacement Filter for 1005
$31.95
$31.95
$5.00
1012
Replacement Filter for
1005 and 1000
$37.95
$37.95
$5.00
1014
Replacement Filter for 1004
$37.95
$37.95
$5.00
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Today's Date: Name: Address1: Address2: Town/City: State: Zip Code: Province: Country: Your Phone Number? Your E-Mail Address? (Only for us) Your Internet Address?

We Accept:

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* Credit Card Number:


Credit Card Expiration Date: Month   and Year

Name on Card:

3 digits on back of card:
(All information submitted remains confidential)
Credit Card billing will appear on your statement as MTC
(Our credit card service provider)

Please make checks and money orders payable to: Larry Smith
Mail to: 3619 E Verdin Road, Phoenix, AZ 85044 (USA)

or

If you prefer, you may call us at 480 899 4463 USA and enter your order.

THANK YOU FOR YOUR INTEREST!
PLEASE COME VISIT KARINYA AGAIN
New things are in the works!

Main Karinya Screen/ Main Water Screen/Solutions
More reasons for filters/ Main Wellness Center