Premium Water Distillers

info@mypurewater.com 1-800-875-5915 | 402-467-9300

Home
Shop
Home Water Distillers
Commercial Distillers
Dealers
Customer Service
Articles
About Us

Residential Online Warranty Form

Residential On-Line Warranty Form

Residential 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.

Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Purchase Date*
Purchased From:*
First
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
My tap water comes from:
- City water supply
- Rural water supply
- Well water
I am:
- Male
- Female
Age Group
- 20-35
- 36-50
- 51-75
- 76 & over
Household Annual Income
- $0 to $20K
- $20K to $30K
- $40K to $50K
- $50K to $75K
- $75K to $100K
- $100K+
Maritial Status
- Married
- Single
- Divorced/Widowed
Primary reason for owning a Pure Water Distiller is...
- My tap water tastes bad
- Medical/Dietary reason
- Safety concern
- My tap water is unhealthy
- Healthy lifestyle
- Other
Your Occupation
- Homemaker
- Professional / Tech.
- Retired
- Farmer / Rancher
- Other
We have a daily 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 in learn more about our business opportunity?
- Yes, please send me more information and occasional updates.
I know others who would benefit from owning a distiller.
- Relatives
- Friends
- Other
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
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

WATER BLOG

Recent Posts

Distilled Water for Dogs, Cats, and Other Pets
3 Reasons Why Distilled Water Makes Better Sun Tea
How often should I clean or change my AiraNui Indoor Air Purifier filters?
We Are In This Together
COVID-19: Why Drinking Pure Water is Especially Vital Now
April 7 is World Health Day!
Your Support Matters
Our COVID-19 Response

ARCHIVES

Archives Archives

Made in the USA Flag

water quality association

OPPORTUNITIES

Water Business
Earn Extra Money with Pure Water
Own your own Pure Water Business
Water Stores & Bottling Plants

DRINKING WATER

Protect Your Family with Home Distillers

CONNECT

Privacy Policy | Copyright © 2020 My Pure Water