Instructions for Customers of the Winners Group

A) Circle the Item that you are purchasing, enter the Quantity being ordered, multiply the Quantity times the Total Price for that item and enter the figure into the Total Extended Price box for that item. 

B) Repeat the above process for each additional item you wish to order. 

C) Add together all of the figures in the Total Extended Price column and enter the sum on line #1 below. 

D) Calculate any additional freight if the items are to be shipped overseas (for Alaska, Hawaii, Puerto Rico and INTERNATIONAL shipments: add $xx.xx for the first item and $xx.xx for each additional item) and enter the figure on line #2 .

E) Calculate Texas state sales tax if the items are purchased in Texas and enter the figure on line #3. 

F) Add lines #1, #2 and #3 and enter the sum on the line below labeled Total payment due with order:

G) Fax both pages of your completed order to (214) 678-9811, Call it in to (214) 678-9866 or mail it to:
Global Water Technologies, 8601 Sovereign Row, Dallas, Texas  75247  Retain a copy for reference.
#1
#2
#3

 Total purchase price is:
Additional freight for overseas shipping (each unit):
If purchased in Texas, add sales tax of 8.25% times #1:
                                                          Total payment due with order:
   
  ______________
  ______________
  ______________
  ______________

Payment Method: 
We accept Visa, Mastercard, Discovery, American Express,  Money Orders, Personal or Business Checks

 

 WINNER’S  GROUP
REFERRAL CODE:______________________ 
(THIS  MUST  BE  ENTERED TO PROCESS YOUR ORDER)
For Credit Card Purchases:
Card Number:________________________________
Expiration Date:_______________________________
Signature:____________________________________
 
PURCHASED BY:
Name:______________________________________   
Address1:___________________________________
Address2:___________________________________
City/State/Zip:________________________________
Tel:_______________
Fax:_______________
e-mail:___________________

 SHIP TO:
Name:______________________________________   
Address1:___________________________________
Address2:___________________________________
City/State/Zip:________________________________
Tel:_______________
Fax:_______________
e-mail:___________________

 

 

Product Code Winners Group
Basic Unit Description		 Power Source Price (each) Shipping & Handling (each) Total Price (each) Quantity  Total Extended  Price
EM-60GPH-HP Produces 60 to 90 gallons per hour of Purified Water
(25 lbs)		 Water Processing:
Hand Pump
Ultra-Violet lamp (110VAC/60HZ) *		 $599.00 $39.95 $438.95    
EM-60GPH-HPB Produces 60 to 90 gallons per hour of Purified Water
(35 lbs)		 Water Processing:
Hand Pump
Ultra-Violet lamp (12VDC) 200 Hr Max Battery		 $699.00 $39.95 $738.95    
EM-60GPH-BAT Produces 60 to 90 gallons per hour of Purified Water
(45 lbs)		 Water Processing: (12VDC) Motorized pump
Ultra-Violet lamp:  (12VDC)
Battery will operate unit for about 1.5 hours per charge		 $899.00 $44.95 $943.95    
EM-60GPH-PWR Produces 60 to 90 gallons per hour of Purified Water
(40 lbs)		 Water Processing:  Motorized pump
(110VAC/60HZ) *
Ultra-Violet lamp:  (110VAC/60HZ) *		 $899.00 $44.95 $943.95    
EM-M-1F
Water Source: Municipal Systems		 1-Micron Carbon Block for removal of parasites and some hazardous metals Replace after 2,500 gallons or once per week during an emergency
 (recommend at least 1 case backup with initial order)		 $17.95        
EM-M-1F-CASE See above See above $359.00
(20 Filters)		        
EM-M-2F
Water Source: Municipal Systems		 LS3-Multi-Media Filter for removal of hazardous chemicals Replace after 80,000 gallons or every 2 years
(recommend 1 back-up with initial order)		 $59.95 $14.95 $74.90    

*  Add $250.00 for 220VAC/50HZ


 

 

Product Code Winners Group
Basic Unit Description		 Power Source Price (each) Shipping & Handling (each) Total Price (each) Quantity Ordered Total Extended  Price
EM-R-1F
Water Source: Rivers, Lakes or Ponds		 1-Micron Filter for removal of dirt, silt and parasites Replace every 2 days during emergency (or when clogging occurs)
(recommend 2 case backup with initial order)		 $5.50        
EM-R-1F-CASE See above See above $220.00
(40 filters)		        
EM-R-2F
Water Source: Rivers, Lakes or Ponds		 1-Micron Carbon Block with LS3-Multi-Media insert for removal of parasites and hazardous chemicals Replace after 2,500 gallons or once per week during an  emergency
(recommend 1 case backup with initial order)		 $39.95        
EM-R-2F-CASE See above See above $399.00
(20 filters)		        
EM-M-3UV Ultra-Violet Lamp and Quartz Sleeve for killing bacteria and viruses Ultra-Violet Lamp rated 9000 hours (each off/on cycle reduces lamp life by 6 hours, requires 2 minute warm-up before use) (recommend 1 backup with initial order) $125.00 $14.95 $139.95    
EM-M-BAT 12VDC Battery 12 Amp Hours
(9 lbs) 		 $99.00 $14.95 $113.95    
EM-M-CHR-D Battery Charger Requires 110VAC/60HZ $150.00 $19.95 $169.95    
EM-M-CHR-I Battery Charger Requires 220VAC/50HZ $150.00 $19.95 $169.95    
EM-M-ADP Battery Adapter Substitutes for system battery: permits operation from car/truck battery $75.00 $14.95 $89.95    
EM-M-FPUMP Foot Pump with adapter   $140.00 $19.95 $159.95    
EM-M-HPUMP Hand Pump with adapter   $140.00 $19.95 $159.95