Make A Payment On Your Time Payment Order

Please complete the below information to make a payment for your time payment order

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Monthly Payment Authorization: I would like Multipure to charge my credit card every month until my Time Payment Order is paid in Full. For consumer safety and security, this transaction will be validated by Multipure Customer Service via telephone. The transaction will be processed upon confirmation.

6 Months

9 Months

12 Months

I hereby authorize Multipure International to ship to me a replacement filter at the time interval checked and to charge my credit card account shown above for the filter, sales tax, and shipping.

Method of Payment

PRICES ARE IN U.S. CURRENCY, PLEASE PAY IN U.S. CURRENCY

Program and SAVE 15%

Thank you for making this payment!

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