Non-Government Organization (NGO) Contact Form

Non-Government Organizations (NGOs) anywhere in the world are able to purchase our products at discounted prices in order to serve those in disaster or low-income settings. If you believe you qualify as an NGO, please fill out the form below. NGOs must agree not to resell our products in retail settings in order not to disrupt our retail distribution network. 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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