Change of Service

Fill Out The Form For Change of Service

  • PRICE MATCH GUARANTEE
    We guarantee that if at any time you find comparable system Pure Water Technology will match the price. A system would simply have comparable capacities, sanitation, contaminant removal, energy efficiency and service/filter monitoring.
  • BUDGET PROTECTION
    The service cost that we quoted you will remain secure and stable. Even when the price of parts, filters, gas, and labor go up the cost that you budgeted for water will not increase or have surcharges. This is limited to the term of your original agreement up to 60 months.
  • 100% QUALITY PROMISE
    Pure Water Technology guarantees that the system will deliver pure, healthy water, and will operate "like new" every day. If the system ever does not meet manufacturer's specifications we will replace it.
Company (REQUIRED):
Contact Name (REQUIRED):
Address (REQUIRED):
City (REQUIRED):
Phone Number (REQUIRED):
E-mail:
I wish to make the following changes to my service (REQUIRED, CHOOSE ONE)
Add Systems:
Change Billing Address:
new address:
Terminate Service:
reason:
End of Agreement Replace/Remove:
other options you want to look at:
Buyout Agreement Midterm:
Closing:
Moving:
Other:
other information that may help:
Upload File:
(cancellation letter, picture or installation layout)
Verification Code:



Our Goal is 100% Customer Satisfaction!