Canned Water Order Form Purchase canned water by the case or pallet from EcoSet in Los Angeles. "*" indicates required fields Step 1 of 3 33% WATER ORDERCommonly estimated as 3 cans/person/day or 2 bottles/person/day. For orders of 30 or more cases of water, we can keep an open PO for additional cases or returns.Order type* Water by the case Water by the pallet Water by the case* 12oz flip top cans 16oz twist top bottles Water by the pallet* 12oz flip top cans 16oz twist top bottles 12oz flip top cans Quantity12-pack @ $1.25/can Price: $15.00 Quantity 16oz twist top bottles Quantity24-pack @ $1.60/bottle Price: $38.40 Quantity 12oz flip top cans QuantityFull pallet = 180 cases @ $1.00/can Price: $2,160.00 Quantity 16oz twist top bottles QuantityFull pallet = 60 cases @ $1.35/bottle Price: $1,944.00 Quantity Subtotal $0.00 Tax $0.00 Total CONTACT INFOPoint of contact for water orderContact Name* First Last Contact Email* Contact Phone*PICK UP INFOPick up from EcoSet weekdays 8:30 AM – 4:30 PM / 3019 Andrita Street, Los Angeles 90065 / 323.669.0232Pick up date*EcoSet is closed on weekends Month Day Year BILLING INFOJob name / Job #*Keep an open PO for this order?*For orders of 30 or more cases, we can hold an open PO up to 10 days for additional cases. Invoice is billable as Net 30 terms. No, I am purchasing my order in full Yes, I may need to purchase additional cases within 10 days Purchase Order #*Payment preference* Cash upon pickup Credit card (pay now / no refunds) Credit card (open PO) Check ACH or Wire Credit CardPurchase order in full / no refunds available. Cardholder Name Card Details Billing company*Billing contact address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing contact name* First Last Billing contact email* Billing contact phone*Additional notes for EcoSetInterested in ordering pallets or large volumes?