Premier Label Water Company
CityScape Consumer Order Form
LAS VEGAS + BEVERLY HILLS | INDIVIDUAL BOTTLES
Select your quantities below and add your order straight to your cart, or print this form to order by email, phone or mail.
Buyer Information
Order
| Bottle / UPC | Size | Color | Type | Qty. Bottles | Price / Bottle | Extended Total |
|---|---|---|---|---|---|---|
| Las Vegas CityScapeUPC 810503010136 | 750ml | Cobalt Blue | Filled with Spring Water | $19.95 | $0.00 | |
| Las Vegas CityScapeUPC 810503010143 | 375ml | Cobalt Blue | Filled with Spring Water | $14.95 | $0.00 | |
| Las Vegas CityScapeUPC 810503010150 | 750ml | Cobalt Blue | Empty Bottle | $16.95 | $0.00 | |
| Las Vegas CityScapeUPC 810503010167 | 375ml | Cobalt Blue | Empty Bottle | $12.95 | $0.00 | |
| Las Vegas CityScapeUPC 810503010136 | 750ml | Matte Black | Filled with Spring Water | $19.95 | $0.00 | |
| Las Vegas CityScapeUPC 810503010143 | 375ml | Matte Black | Filled with Spring Water | $14.95 | $0.00 | |
| Las Vegas CityScapeUPC 810503010150 | 750ml | Matte Black | Empty Bottle | $16.95 | $0.00 | |
| Las Vegas CityScapeUPC 810503010167 | 375ml | Matte Black | Empty Bottle | $12.95 | $0.00 | |
| Beverly Hills CityScapeUPC 810503010174 | 750ml | Cobalt Blue | Filled with Spring Water | $19.95 | $0.00 | |
| Beverly Hills CityScapeUPC 810503010181 | 375ml | Cobalt Blue | Filled with Spring Water | $14.95 | $0.00 | |
| Beverly Hills CityScapeUPC 810503010198 | 750ml | Cobalt Blue | Empty Bottle | $16.95 | $0.00 | |
| Beverly Hills CityScapeUPC 810503010204 | 375ml | Cobalt Blue | Empty Bottle | $12.95 | $0.00 | |
| Beverly Hills CityScapeUPC 810503010174 | 750ml | Matte Black | Filled with Spring Water | $19.95 | $0.00 | |
| Beverly Hills CityScapeUPC 810503010181 | 375ml | Matte Black | Filled with Spring Water | $14.95 | $0.00 | |
| Beverly Hills CityScapeUPC 810503010198 | 750ml | Matte Black | Empty Bottle | $16.95 | $0.00 | |
| Beverly Hills CityScapeUPC 810503010204 | 375ml | Matte Black | Empty Bottle | $12.95 | $0.00 | |
| Order Subtotal | $0.00 | |||||
Add your quantities above to order online — shipping is calculated automatically at checkout. Prefer to order by phone, email or mail instead? Print this form and send it to sales@plwc.net.
Payment Method
For your security, do not write credit card numbers on this form. To pay by card, place your order directly at plwc.net or call us and Premier Label Water Company staff will collect payment securely by phone.
Signature
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