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ALKALIZED WORLD, LLC.

"CHANGE YOUR WATER... CHANGE YOUR LIFE"

Order Form and Distributor Application

To complete your order and distributor application please click all the links below, download them, print them out, fill out all the forms, sign them, and then fax them to 909-697-2044 or email them to alkalize@live.com (W-9 Form is not required if buyer lives outside USA). You will receive an email confirmation or a phone call within 48 hours once we received the completed orders and distributor application forms. We will ship your machine the following business day after we process your application. 

Product Order Form & Distributor Application


W-9 Form (For US Taxpayer Only)
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