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7
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1
Pick Your Machine
*
This field is required.
Includes 6 Stainless Steel 20oz Wide mouth AF Bottles
Chilled AF (As low as $39.99/Month)
Sparkling AF (As low as $79.99/Month)
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2
Chilled AF Plan
*
This field is required.
Includes: -Annual 5 Stage Filter Changes -Annual Ultra Violet Maintenance -Annual Co2 Change*
Value Plan (60 Month Contract - $39.99/Month)
Standard Plan (12 Month Contract - $49.99/Month)
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3
Sparkling AF Plan
*
This field is required.
Includes: -Annual 5 Stage Filter Changes -Annual Ultra Violet Maintenance -Annual Co2 Change*
Value Plan (60 Month Contract - $79.99/Month)
Standard Plan (12 Month Contract - $99.99/Month)
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4
Size
*
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Counter
Free Standing (+$10/Month)
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5
Account Type
*
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What type of location is this?
Office/Business
Home/Residence
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6
Existing Customer
*
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Are you a new customer or an existing customer?
New Customer
Existing Customer
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7
Free Trial
*
This field is required.
Choose between a Free Trial or Sign Up now and receive the first month free
Yes, I would like a 7 day Free Trial!
No Trial Needed. Sign me up and I'll enjoy the 1st month Free!
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8
Residence Information
*
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Your Name
Phone Number
Email
Street Address
City
State
Zip Code
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9
Business Information
*
This field is required.
Installation fee charged upon enrollment: Chilled AF $99 Sparkling AF $299 $99 Credit with any referral.
Your Name
Business Name
Phone Number
Email
Business Address
City
State
Zip Code
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