pH Perfect Order Form

Thanks for your interest in the ph Perfect water purifier products. 

To Order: 

Call our Order Line at (866) 400-9389 and provide your ID number or User name along with the following information.   You may alternatively fill out the order form (stored under “Downloads” on our site) and fax to 618-659-9607. A Representative will call you the following business day if your order form is not complete.  Our representative can also take your credit card information over the phone.

Please make sure your Email address is correct and is the one you have listed on your account.

You can also copy and email this completed form to phPerfect@ZamZuu.com .

Quantity:

________                  $1,995.00                  ph Perfect Multi-Functional Water Ionizer

________                  $     99.95                   ph Perfect Magic Alkaline Stick   

________                 $   269.95                    ph Perfect Magic Alkaline Stick – 3 pack

________                 $   795.00                    ph Perfect Magic Alkaline Stick – 10 pack

Billing & Shipping Information:

Name:                                                                            Rep ID#:  ______________                                

Phone#:                                                 Best Time to Call: ______________________                                     

Billing Address:   ______________________________________________________

City   ______________________________  State ______   Zip Code ____________

If shipping address is different than the billing, please indicate it here: 

______________________________________________________________

______________________________________________________________

By completing the above form or verbally calling my order in to our 800 number, I agree to have my checking or credit card account billed for the product and quantity listed above.  Shipping and tax will be additional and will be calculated when the order is placed with a ZamZuu Representative. 

Credit Card Number_______________________ Exp. ___/___ 3 Digit Code_____

_________________________________________      ___________________

                        Signature                                                             (best time to call)

If you are sending in this form, a ZamZuu Representative will be contacting you the following business day to complete your order (please specify the best time to call in the space provided above).  If you need additional assistance, you may reach ZamZuu Support at (866) 400-9389 (Monday through Friday, 7:00 AM – 7:00 PM) or via e-mail at phPerfect@ZamZuu.com.