Check Order Form
Call or order online: 1-888-499-8656
www.EdenPureStore.com
ORDER INFORMATION:
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First Name:
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_________________________________________________
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Last Name:
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_________________________________________________
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Phone:
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_________________________________________________
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Email:
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_________________________________________________
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Shipping Address:
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_________________________________________________
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_________________________________________________
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City:
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_________________________________________________
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State:
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_______________________Zip:_______________________
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SALES REP: _____________
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QTY
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PRICE
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SUB TOTAL
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EdenPURE US 1000
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$397.00
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EdenPURE GEN 4 1000
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$397.00
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EdenPURE GEN 4 Signature Edition
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$497.00
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EdenPURE Personal Heater
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$197.00
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EdenPURE GEN 3 1000
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$297.00
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EdenPURE G-7 Air Purifier
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$297.00
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EdenPURE Area Model Purifier
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$197.00
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Grand Total
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**A 6% sales tax will be added to all Michigan residents.**
Fill in above order form and make check payable to Affordable Heat, LLC
Send payment to:
Affordable Heat LLC
727 Bradish St.
Adrian, MI 49221
Your products will be shipped once the check is deposited and cleared. If you have any questions please contact customer service: 1-888-499-8656
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