Right Water Solutions
P.O. Box 1523
Lake Elsinore, CA 92531-1523
(951) 796-4197
www.rightwatersolutions.com
______________
Date
Order Form

Print this page, fill it out, and mail it with your Check or Money 0rder made payable
to "Right Water Solutions"
Minimum Order: $25
Name
Street Address
City, State, Zip
Phone

Item Name
Item No.
Qty.
Price
Each
Total
         
          
          
          
           
          
          
          
           
          
          
          
          
  Sub Total
  
To figure S&H and Tax,
Click for Calculator
Add 14%* Shipping & Handling
California Residents - Add 8% Sales Tax
  
Check       Money Order
Total Payment Enclosed 
 $ ______________
*Call for S&H on orders outside the 48 contiguous States (e.g., AK, HI, PR, VI, and International)

Please allow 7 to 10 days for delivery (excluding weekends and holidays).
Thank you for your order!