Agua Del Sol
P.O. Box 651
Safford, AZ 85546
For information, help, or to order by phone, call: (928)348-7512, cell: (520)360-7665
You may order by email, phone, or regular mail.
To order by email, fill out the form below, indicate how you will be paying, and click "Submit" to send. We will call you to arrange payment and complete the transaction.
To order by regular mail, please print this form, fill it out and mail it, including check or credit card number, to the address above. If paying by charge card, you must also sign the form where indicated.
| Paying by Check |
| I am sending a check for |
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$ |
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| Check # |
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| Charge |
| If paying by charge card, please print out this form, SIGN, and send to the address above. |
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| Charge Amount:$ |
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| For Credit Card orders please sign here: |
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X |
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| Choose One: |
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MasterCard |
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VISA |
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| Card # |
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| Expiration Date (mm/yy) |
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* Required Fields
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