Customer Address/Credit Card Update

Click Here for Distributor Address Update

We are grateful to have you as a loyal Multi-Pure customer and thank you for taking the time to help us update your address and/or credit card information. Please complete the below information and click the SUBMIT button.

(Note: to fill this form out on our secure page, click here - the yellow lock box on the bottom right hand side tool bar or on the top address bar will now show up)

(text in red is a required field)

Customer Number: (this can be found above your name on the post card you received) -
Last Name:	First Name:
Address:
City:	State:	Zip:
*Home Phone:	*Cell/Work Phone:
*Email:
Credit Card Number:	Expiration Date:
(Note: to fill this form out on our secure page, click here - the yellow lock box on the bottom right hand side or on the top address bar will now show up)
Billing Address of Credit Card if different from Above:
Billing City/State/Zip:
Are you concerned about the quality of your shower water? Did you know Multi-Pure offers a filter for this? Please call our customer service department at 800-622-9206 to get more information.
Comments:
* Your phone number and email address are requested so we can contact you in the event we have a question about your order or credit card information. Please be assured that Multi-Pure does not share its customer information with anyone. If you would like to know how you can earn additional money by sharing with the special people in your life the tremendous benefits you receive from your Multi-Pure Drinking Water System, call our toll-free number (800-622-9206) and talk to one of our marketing representatives. They would be happy to share with you how you can become a distributor and earn extra money. Again, thank you for helping us stay in touch with you.
-

Your replacement filter will soon be shipped to you.
Thank You!