Wholsesale Purchase Order Form
Note: Confidential information is on file with your distributor account and so this form is not secure
 
Select the items that you wish to purchase.
 
Fill-in Quantity of the items you wish to purchase. Shipped 6 to a carton.

 
Item
EnterQuantify of
Cartons Requested
Type
Qty per
individual
package
Qty packages
per carton
Description
No. 2 Cone ECOFILTER
2
6
4 to 5 cup coffee maker
No. 4 Cone ECOFILTER
2
6
8 to 12 cup coffee maker
No. 6 Cone ECOFILTER
2
6
12 cup coffee maker
Small Basket ECOFILTER
2
6
4 to 5 cup coffee maker
Large Basket ECOFILTER
2
6
8 to 12 cup coffee maker

 
Billing Information
 
Distributors will be sent an email confirming order, ship date and and final cost from our sales department. Instruction will be provided for payment. Call for Questions.
 
Shipping Information
 
 Customer information. 
(account name and e-mail required)
 
 
Account Name 
Your Name
Email 
Phone 
Ship to address on file

Ship to new address below * Color
Address   
City 
State
Country
Postal Code
 * we will call to confirm new ship address
 
Instructions or Added Information
 
 
Enter any special instructions or additional information that will help us process your order
 
 
 


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