Non-Government Organization (NGO) Contact Form

Non-Government Organizations (NGOs) both within the U.S. and outside of the U.S. are able to purchase the H2gO Purifier at a discounted price. If you believe you qualify as an NGO, please fill out the form below. If you are approved as an NGO, we will send you a discount code for online purchases. Note that we will only ship purifiers to the address on record for approved NGOs, unless other arrangements have been made in advance. Please contact us to arrange an alternate shipping location.

Name of Non-Government Organization

Address

Contact person

Contact email

Contact phone

Address for product deliveries

Contact for product deliveries

Mission statement

How long in business

Countries you operate in

Services provided

References
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