Eco Filter order formEco Filter order form

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