Installation Order​

Seller Code *
Seller name
Number of buyers

Buyer 1 Information

Full name *
Home phone *
Cell phone *
Email *
Address *
State *
City *
Zip Code *

Buyer 2 Information

Full name
Home phone
Cell phone
Email
Address
State
City
Zip Code

Buyer 3 Information

Full name
Home phone
Cell phone
Email
Address
State
City
Zip Code

Products and System

Treatment system
Brand
Model
Reverse osmosis system
RO Brand
RO Model
Other products or promotions included

Installation Instructions

Estimated installation date
Water type
Will the purification system installation be done inside or outside the property?
Is there an available electrical connection for the installation of the purification system?
How would you like to proceed?

The client commits to managing and having the necessary electrical connection enabled prior to the system installation.

Installation time slot

.

Payment Method

Payment method
Select the financing company you wish to process the financing with.

Credit Card Authorization

Name as it appears on the card
License number
Zip code
Card number
CVC
Card type
Expiration date

Payment Terms

Sale price
Installation
Total cash price / Compensation
Down payment
Total price

Financing

Amount to finance
Payment term
Finance charges
APR
Total financed price

ADDITIONAL INFORMATION

Write

Contract Signatures

By signing this contract, the client acknowledges that they have read, understood, and accepted the general terms and conditions of the agreement with Future Alkaline Water.

Buyer 1 Signature
Clear
Buyer 1 Signature Date
Buyer 2 Signature
Clear
Buyer 2 Signature Date
Buyer 3 Signature
Clear
Buyer 3 Signature Date
Representative name
Representative signature
Clear
Representative date

Future Alkaline Water

Creating a better future through sustainable solutions!

Residential Water Systems

Commercial Water Systems

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Alkaline Water Company

Certifications

Homologaciones y certificados para instalación de tratamiento de aguas

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