Delivery Sign-Up

Delivery is Limited to Maricopa, AZ & Casa Grande, AZ Areas

 Sign-up below and your first delivery will be $2.00 per 5-gallon bottle - for any of our waters - with a limit of 6 bottles or 30 gallons if you have other-sized containers.

No credit card necessary to sign-up. We bill after delivery. We'll call you to make the final arrangements and let you know when we'll be delivering to your neighborhood. **Want to earn free water?** We'll give you a free 5-gallon bottle refill for every new customer you recommend to us. Just have them put your name in the space next to the first question shown below.

To arrange delivery, please fill out all of the required fields below.  No credit card information is required at this time. You will only be charged for the actual number of bottles that we sterilize and refill when deliveries start. Please make sure you fill out all of the required fields or you won't be able to submit the form:
Who were you referred by? (Optional)
Your Full Name:
Email Address:
Phone:
Street Address:
City, State, Zip
Which community do you live in? This will help us with planning deliveries. (Optional)
First-floor delivery? Yes
No - I understand that there will be an additional delivery fee of $5 if there is no elevator and we have to deliver to a 2nd floor or higher address. We give that $5 as a tip to our drivers.
Water type of water do you want? Reverse Osmosis (RO)
Alkaline Water
Re-Mineralized
Some of Each
What type of containers are you using? (Optional) 3-gallon
5-gallon
Both
I Need Containers (call me)
The approximate number of containers of water you expect to use monthly. (Optional) 1
2
3
4
5
More
Do you have any questions or special requests? (Optional)

Questions? Call us at (520) 216-6550.  Otherwise, we will contact you in the next 24 hours to confirm the start of your delivery and collect your payment information.  Thank you for trusting us with your water needs.

© Copyright RainbowWater & Ice