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Special Offer

Please have a representative contact me for my enrollment.

 

Receive a free case (24 bottles- 500 ml bottles) of DeNice Brand bottled water for every 3 or more 5 gallon bottles ordered per month during the first year of service. That means up to 12 cases of water free!

 

I would like pure, fresh 5 Gallon Water delivered to my home or office every month. I understand that there is NO annual contract to sign and NO cancellation fee.

Company (Optional)

First Name*

Last Name

Phone Number*

Address

City, State & Zip

Email*

How did you hear about us?

Comments/Questions

Order Options

Number of 5 Gallon bottles to be delivered Monthly ($4.99 each):

Hot and Cold Water Cooler ($6.99 per month):

Room Temp and Cold Water Cooler ($6.99 per month):

Additional monthly cases of DeNice brand water ($5.99 each): .

 

Terms of Service

Offer valid for 12 months from the sign-up date. DeNice Water/UltraPure Bottling Systems reserves the right to close this offer at any time. Pricing valid for new customers only and cannot be combined with any other offer.

I have read and understand the terms and conditions of the water delivery and cooler rental agreement.*

 
*required