Contact Us

Contact Us2018-08-04T01:05:12+00:00
My Contact Information:
Bottles Needed Annually
Application for Usage
What is your interest?
I want to buy your product.

I want to produce your product.

We will have the capability to ship to international locations quantities greater than 1 sample beginning in mid-2019.  Thank you for your patience. 

To best serve you, we will need some additional information such as company revenue and industry information. Would you like to input that information here or receive a PDF questionnaire?
Input Information HereReceive PDF Questionnaire

After submitting this form, you will receive a link to download a PDF questionnaire. Please send the completed document to
Company Info:
Company Name
Corporation Type
State Organized
How Many Owners
Years in Business
Breakdown in Ownership
Last 3 Years Average Revenue
Breakdown by Position Type
Location of Production
States/Provinces with an Office
States with Customers

Industry Info:
Existing Customers
Existing Products or Services
Current Manufacturing Operation
Value Proposition
Related Industry Experience
Company Fit

(PWB must be a complimentary business to the Licensee current business)

Sales Channels:
Forecast of Paper Water Bottles Sold In:

Capitalization and Cash on Hand
Financial Statement
Personal Credit Score - 675 and Up

No Judgements or Bankruptcy
Entity Name of Licensee


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