Canned Water Order Form Purchase canned water by the case from EcoSet in Los Angeles. Tiered pricing calculates based on number of cases selected of each product. "*" indicates required fields Step 1 of 3 33% CONTACT INFOPoint of contact for water orderContact Name* First Last Contact Email* Contact Phone*WATER ORDERCommonly estimated as 3 cans/person/day or 2 bottles/person/dayProduct requested*Check all that apply. Returns are available for orders of 20 or more cases. 12oz flip top cans (filtered water) 16oz twist top bottles (filtered water) 12oz flip top cans (12-pack) Quantity1-40 cases = $12.00 / 41-80 cases = $11.40 / 81-120 cases = $10.80 / 121+ cases = $10.20 Price: $0.00 Quantity 16oz twist top bottles (24-pack) Quantity1-20 cases = $36.00 / 21-40 cases = $33.60 / 41-60 cases = $31.20 / 61+ cases = $28.80 Price: $0.00 Quantity Subtotal $0.00 Tax $0.00 Total 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 Pick up contact name* First Last Indicate TBD if unknownPick up contact phone BILLING INFOJob name / Job #* Do you have a Purchase Order #?* Yes No Purchase Order #* Keep an open PO for this order?*For orders of 20 or more cases, we can hold an open PO up to 10 days. Final case count determines volume discount pricing tier. Invoice is billable as Net 30 terms. No, I am purchasing my order in full Yes, I may need to return unopened cases within 10 days Other Payment preference*No returns are processed for orders less than 20 cases Cash upon pickup Check ACH Credit Card + 3% processing fee Wire Transfer 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?