Easy to find water filters and replacement water filters

ORDER FORM

You may submit this form by fax, by email, by postal mail, or by phone.



WaterFilters.NET, LLC
560 22nd St • Zumbrota • MN • 55992 US
Phone #: 612-605-6910 • Toll-Free #: 1-888-801-7873 • Fax #: 888-959-2226
CustomerService@waterfilters.net
www.WaterFilters.NET

BILLING ADDRESS AND SHIPPING ADDRESS:

Name: _________________________________________________________

Company Name (if applicable): ______________________________________

Billing Address (Must match credit card Billing Address):

Street 1:_______________________________________________________________

Street 2:_______________________________________________________________

City:________________________________________ State:________ ZIP:_____________

Phone Number: ___________________ Fax Number: ____________________

Email Address: ___________________________________________________

Shipping Name & Address (If different than Billing Address above):

Street 1:_______________________________________________________________

Street 2:_______________________________________________________________

City:________________________________________ State:________ ZIP:_____________

Phone Number: ___________________ Fax Number: ____________________





PRODUCT ORDER (Attach another sheet if necessary):
Product Code _________________
Product Price $_______________    x  Quantity _______  =  Amount $__________

Product Code _________________
Product Price $_______________    x  Quantity _______  =  Amount $__________

Product Code _________________
Product Price $_______________    x  Quantity _______  =  Amount $__________

Product Code _________________
Product Price $_______________    x  Quantity _______  =  Amount $__________

Product Code _________________
Product Price $_______________    x  Quantity _______  =  Amount $__________

Product Code _________________
Product Price $_______________    x  Quantity _______  =  Amount $__________


Shipping Cost: _______________________________________________________
USA Shipments: Enter preferred method of shipment
(UPS Ground, UPS Next Day Air, UPS 2nd Day Air, UPS 3 Day Select, USPS Priority Mail).
International Shipments:  Enter preferred method of shipment (USPS Global Express Mail).

Shipping charges are actual shipping costs based on weight and destination. Please expect Next-Day
Air, 2nd Day Air, and 3-Day Select to ship on the next business day (M-F) following your order or
when your check or money order clears. For shipping costs, email shipping address and order contents to
CustomerService@waterfilters.net or call 888.801.7873. You can also use the "Shipping Estimator" on our
website.

Shipping Cost: $________________


Subtotal: __________________________________________________________

Sales Tax (6.875% MN only): ____________________________________________

Total Amount: _____________________________________________________

PAYMENT METHODS (Choose one of the three options):

1) Name on Credit Card: ____________________________________________

Credit Card Type (circle one):     MasterCard    Visa    Discover    American Express

Credit Card Number: _______________________________________________

Expiration Date: __________________ Credit card verification number*: _______

2) Check #: _______________________   

3) Money Order #: __________________


THIS TRANSMISSION CONTAINS CONFIDENTIAL INFORMATION INTENDED FOR USE
ONLY BY THE ABOVE MENTIONED RECIPIENT. READING, DISCUSSION, OR COPYING OF
THIS MESSAGE IS STRICTLY PROHIBITED BY ANYONE OTHER THAN THE NAMED
RECIPIENT, OR HIS OR HER EMPLOYEES OR AGENTS. IF YOU HAVE RECEIVED THIS
DOCUMENT IN ERROR, PLEASE NOTIFY US BY TELEPHONE (COLLECT), AND RETURN
TO US AT THE ABOVE ADDRESS VIA THE U.S. POSTAL SERVICE.


*What is a Credit Card Verification Number?
Credit card verification numbers enable an important security feature
for credit card transactions on the Internet and over the phone. A credit
card verification number (CVV2) is the three- or four-digit number printed
in the signature space on the back of most credit cards and on the front of
American Express cards, like this:


Credit Cards


Some newer credit cards only show the last four digits of the credit card
number on the back, followed by the CVV2 number.

The CVV2 number enhances fraud protection and helps to validate two things:

By helping to prevent credit card fraud, the CVV2 number keeps costs down
for everyone.