Precision Water USA Service Request Form

If you wish to have your Precision Water System, LifeMist, H2oPlu, or Polar Bear distiller serviced, please complete this form and you will be contacted within 2 business days. No distiller will be accepted on our dock without prior approval.

1 Owner Information 2 Distiller Information 3 Confirmation

Full Name *

Primary Telephone *

We use this information to contact you if we have a question while servicing your unit.

Email Address *

Shipping Address *

This is the primary address where the unit will be shipped back to.

Address 1 *

Address 2

City *

State *

ZIP code *

Are you the original owner?

Yes

How Many Years have you owned the Distiller?

Leave this field blank

Precision Water USA Service Request Form

In U.S. drinking water, many chemicals are regulated — but many aren’t

Distilled Water and Your Health

Why Distillation?

Precision Water USA Service Request Form

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