Refer a Friend

Do you know someone who would benefit from either water delivery or filtration services? Simply fill out the form below. If they sign up for either our water delivery or one of our home & office filtration systems you will receive a $20.00 credit.

All fields marked with an * are required.

Current Customer
Name *
Phone Number *
Account # *
New Customer Referal
Name *
Company Name
Phone Number *
Email Address *
Address *
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Products
Bottled Water
Water Coolers
Accessories
Filtration
Water Conditioning
Private Labeled Water

Edmonton Delivery
& Pick Up Locations
Edmonton & Area
Delivery Schedules
Pick Up Locations
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Order Form
Pure Water Connection
10739 – 180 Street, Edmonton, AB T5S 1G6
P: (780) 413-6547 F: (780) 413-6501
E: accounts@purewaterconnection.ca
Hours
Monday to Friday: 9AM – 5PM
Saturday: 10AM – 2PM
* Closed Holiday Weekends