1633 Industrial Blvd. Lake Havasu City. 1-928-855-7776

Order Form

When you sign up for our service we deliver crisp refreshing water right to your door step. In addition you will receive Free usage of our water cooler and our "Golden Ticket" which allows you to pick up 60 of our 7 LBS ice bags per year at our retail location. You receive 1 Golden Ticket per year on your start up month.

 So if you started with us in January this will be the month you receive your new Golden Ticket. Please select the amount of bottles you would like to receive every month. We make our deliveries every 2 weeks so if you selected the 6 bottle monthly plan than you will receive 3 bottles every 2 weeks. Submit your info to the right side here and a sales representative will contact you shortly to confirm your order .

COMMERCIAL INQUIRY

Please provide a date and time so that we may evaluate your account:

PRICE BREAKDOWN
Number of Bottles Price
  6 - Bottles per Month $29.95
  8 - Bottles per Month $39.95
10 - Bottles per Month $49.95
12 - Bottles per Month $59.95
14 - Bottles per Month $69.95
1-5 Bottles/ No Cooler / No Ice $5.99 per bottle.

 

 

 

 

your name:

number:

email:

date and time for set up:

address:

how did you find us?:

select a  package:

enter the number 245:

questions:

  

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www.HavasuWaterDelivery.com - 1633 Industrial Blvd. Lake Havasu City, Arizona - 928.855.7776

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