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Home Water Purification &
Filtration Systems
SINGLE FAUCET SYSTEMS
SPECIAL DISCOUNTED
ORDER FORM
FOR CUSTOMERS OF
THE
3-FROGS
GROUP
FAX, Mail
or Call orders to:
Fax: 214-678-9867 Tel:
214-678-9866
Global
Water Technologies
761 109th Street, Arlington TX 76011
Shipping & Handling is for the Continental United
States
See below for additional overseas, Hawaii, Alaska & Puerto Rico freight
rates.
Prices subject to change without notice.
|
Item
|
Description
|
Discounted
Price (each) |
Shipping & Handling (each) |
Total
Item Price (each) |
Number
of Units |
Total
Extended Price |
|
1.
|
SINGLE POD
1-MICRON MULTI-MEDIA
On-Top-of-the-Counter |
$149.00 |
$9.95 |
$158.95 |
|
|
| 2. |
SINGLE POD
1-MICRON
MULTI-MEDIA
Under the Counter |
$149.00 |
$9.95 |
$158.95 |
|
|
| 2.a. |
Tap for water line and
Separate
Faucet Connection |
$25.00 |
$3.95
|
$28.95 |
|
|
| 3. |
SINGLE POD
1-MICRON
MULTI-MEDIA
Under
the Counter |
$149.00 |
$9.95 |
$158.95 |
|
|
| 3.a. |
Tap for water line directly
Into cold water line |
$10.00 |
$2.00
|
$12.00 |
|
|
| 4. |
DOUBLE POD
1-MICRON
MULTI-MEDIA PRE-FILTER FOR SILT
Under the
Counter |
$239.00 |
$16.95 |
$255.95 |
|
|
| 4.a. |
Tap for water line and
Separate
Faucet Connection |
$25.00 |
$3.95
|
$28.95 |
|
|
| 4.b. |
Tap for water line directly
Into cold water line |
$10.00 |
$2.00
|
$12.00 |
|
|
| 5. |
UV
SYSTEM
Under the
Counter |
$449.00 |
$16.95 |
$455.95 |
|
|
| 5.a. |
Tap for water line and
Separate
Faucet Connection |
$25.00 |
$3.95
|
$28.95 |
|
|
| 5.b. |
Tap for water line directly
Into cold water line |
$10.00 |
$2.00
|
$12.00 |
|
|
| 5. |
UV
SYSTEM with PRE-FILTER
Under the
Counter |
$539.00 |
$19.95 |
$558.95 |
|
|
| 6.a. |
Tap for water line and
Separate
Faucet Connection |
$25.00 |
$3.95
|
$28.95 |
|
|
| 6.b. |
Tap for water line directly
Into cold water line |
$10.00 |
$2.00
|
$12.00 |
|
|
| 7. |
1-MICRON
MULTI-MEDIA REPLACEMENT FILTER |
$49.95 |
$6.95 |
$56.90 |
|
|
| 8. |
U.V. BULB
REPLACEMENT |
$84.00 |
$8.95 |
$92.95 |
|
|
To
order, circle the unit that you are purchasing, fill out
the number of units
being order.
#1.
The total purchase price is:
_______________
#2. Additional
freight for overseas shipping (each unit):
_______________
#3.
If purchased in Texas, add sales tax of 8.25% times #1
________________
Total payment due with
order: _________________
Additional
Freight for INTERNATIONAL, Hawaii, Alaska or Puerto Rico
shipments: Add $10.00 for the first item and $4.00
For
Visa, MasterCard, Discovery or Amex purchases:
________________________________________
card number
______________________________
_________
signature
exp. date
SHIP
TO:
Name: ________________________________________
Address: ______________________________________
City/State/Zip: __________________________________
Telephone: _______________
e-mail: _______________
3-FROG’S CODE
(MUST BE INCLUDED
TO PROCESS ORDER): _______________
©-GLOBAL WATER GROUP, INC. 09/01/2000
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