Canned Water Order Form / Estimate Tool Purchase canned water by the case or pallet from EcoSet in Los Angeles. Use our form to calculate water costs for the bidding process. "*" indicates required fields Step 1 of 3 33% WATER ORDERProduct requested*Check all that apply 12oz flip top cans 16oz twist top bottles Full pallet 12oz flip top cans (12-pack) Quantity Price: $15.00 Quantity 16oz twist top bottles (24-pack} Quantity Price: $38.40 Quantity 12oz flip top cans (12-pack) – Full pallet Quantity180 cases, must be picked up with box truck Price: $2,160.00 Quantity 16oz twist top bottles (24-pack) – Full Pallet Quantity60 cases, must be picked up with box truck Price: $1,944.00 Quantity Subtotal $0.00 Tax $0.00 Total PAYMENT OPTIONSOrders of 30 or more cases can keep an open PO for additional quantity or returnsPayment preference* Cash upon pickup Check ACH or Wire Credit Card + 3% processing fee Keep an open PO for this order?*For orders of 30 or more cases, we can hold an open PO up to 10 days. Invoice is billable at Net 30 terms. No, I am purchasing my order in full Yes, I may need to purchase additional cases within 10 days Other Purchase Order #* CONTACT INFOPoint of contact for water orderJob name / Job #* Contact 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. Contact our team for after-hours or weekend arrangements. Month Day Year Pick up contact name First Last Pick up contact phone BILLING INFOBilling company* Billing 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 EcoSet