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If you would like to become a new customer of Kimbro Water, please download either of the below documents and send the completed and signed form back to kimbroaccounting@kimbrooil.com. If you have any questions, please call us at (615) 320-8720.
New Account – Credit Card Customer
New Account – Credit App Terms
Name*Company NameEmail*PhoneDelivery Address*ORDER DETAILS Hello, I’d like to order the following water bottles: SIZE: QUANTITY: BRAND:
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Name*Company NameEmail*PhoneDelivery Address* Product*Please select an optionRoxaneCrystal GeyserTennessee Premium SpringNestle PureLifeDeer Park SpringCustom Label Water
Bottle Size*Please select an option16.9oz 24/cs
Bottle Size*Please select an option8oz 70/cs16.9oz 24/cs16.9oz 35/cs1 Liter 15/cs
Bottle Size*Please select an option16.9oz 24/cs20oz 24/cs
Bottle Size*Please select an option20oz 28/cs1 Liter 18/cs700mL Sportcap 28/cs1.5 Liter 12/cs
Bottle Size*
Quantity*
Additional Info
Name*Company NameEmail*Phone Custom Label or Bottled Water*Custom LabelBottled Water Quantity* Additional Info
