Loading

Customer Address & Credit Card Update


(text in red is a required field)
Customer Number(this can be found above your name on the post card you received)
-
Name:
Address:
 
City:
 
State:
Zip:
*Home Phone:
*Cell/Work Phone:
*Email:
Credit Card Number:
Expiration Date:
CVV2 (three-digit number on back of credit card; AMEX number on front):
(Note: to fill this form out on our secure page, click here)
Billing Address of Credit Card if different from Above:
Billing City/State/Zip:
Are you concerned about the quality of your shower water? Did you know Multipure offers a filter for this? Please call our customer service department at 800-622-9206 to get more information.
Comments:

* Your phone number and email address are requested so we can contact you in the event we have a question about your order or credit card information. Please be assured that Multipure does not share its customer information with anyone.


If you would like to know how you can earn additional money by sharing with the special people in your life the tremendous benefits you receive from your Multipure Drinking Water System, call our toll-free number (800-622-9206) and talk to one of our marketing representatives. They would be happy to share with you how you can become a distributor and earn extra money.


Again, thank you for helping us stay in touch with you.

Please enter the characters you see in the image:


Image verification

 

If you cannot read the image, click for a new one