Commercial Online Warranty Form

Commercial On-Line Warranty Form

Commercial purchasers of our products should either complete this on-line warranty form or mail in the warranty form card within 10 days of purchase in order to validate the warranty.

Company Name*
Primary Contact Name*
First Last
Federal Tax ID#
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Purchase Date*
Purchased From:*
First Last
Model Purchased*
Serial #*
Distributor Address
Street Address City State / Province / Region ZIP / Postal Code
Distributor's Website
I learned about Pure Water Distillers from:
- Internet Search
- Magazine
- Relative
- Friend
- Radio
- Webinar
- Other
Our tap water comes from:
- City water supply
- Rural water supply
- Well water
For what purpose will this distiller be used?
- Drinking water
- Non-drinking water
- Both
What type of business is this?
- Dental
- Medical
- Laboratory
- Factory
- School
- Institution
- Bank
- Government
- Military
- Other
Primary reason for owning a Pure Water Distiller is...
- Bad tasting water
- Tap water may be unhealthy
- To improve employee relations
- As part of our employee wellness program
- Autoclaves
- Industrial Batteries
- Turbine Wash
- Electronics Wash
- Chemical Mix
- Other
Do you have in-house maintenance staff?
- Yes
- No
If yes, who is responsible for this distiller?
First Last
Phone
Email
Does your company have other locations?
- Yes
- No
Do any of these locations have a Pure Water Distiller?
- Yes
- No
- Don't know
Would any of these locations be interested in a Pure Water Distiller?
- Yes
- No
If yes, who should we contact?
First Last
Phone
Email
Would your employees be interested in units for home use?
- Yes
- No
If yes, who should we contact?
First Last
Phone
Email
We have a blog called www.Watercology.com in which we educate and inspire people to care about the quality of water they put into their body. Do you want to be registered for free?
- Yes, sign me up for free!
Are you interested to learn more about our business opportunity?
- Yes, send me more information and occassional updates.
Captcha

Non Drinking Water

Distilled Water for Dental Offices
Distilled Water for Tea Shops
Pure & Secure™ Water for High-Security Facilities
Healthy Drinking Water for Schools & Daycares
Pure Water for Medical Facilities
Pure Water for Food Processing
Laboratory Water Distillers

Support

How-To Videos

Warranty Info & Forms

Refund & Return Policy

Product Manuals

Repair Center

Water News

What Severe Winter Weather means for your water
Welcome to the Team, Lea!
Why is my Mini Classic CT Pure Water Distiller producing less water than it used to?
Distilled Water for CPAP
The Many Uses of Distilled Water
What are the Health Benefits of Water?