Nimbus Water International ~ Order Form

Order Form

Please complete and submit the form below to obtain pricing information and to place an order.

Contact Information
*Contact Name:
Company Name:
*Address:
Suite/Apartment:
*City:
*State:
*Zip:
Country:
*Day Phone:
Evening Phone:
Cell or Pager:
Fax:
*E-mail:

*Select the product(s) you are interested in:	Commercial Reverse Osmosis H-Series N-Series CIV-Series CIH-Series CIP-Series Filtration Ton Series Filters Softeners, Multi-Media and Carbon	Residential Reverse Osmosis WaterMaker Mini Sierra Tahoe Counter Mate Econoline Filtration Cascade Ton Series Filters
*Be sure to complete all items marked with .** A company representative will contact you shortly for payment information.