PRINT AND FAX ORDER FORM TO 305 242-1292

 QUANTITY                                                                           PRICE                       

_______    Carbostar UC-1 Under Counter Filter                    $    204.00             

_______    Carbostar UC-1 replacement cartridge                         85.00

_______    Carbostar Q-60 Whole House Filter                         2,510.00            

               ( Includes 4 cartridges, all fittings & UC-1)

_______    Carbostar Q-60 replacement cartridges (4)                 340.00                

_______    Carbostar IM-1 Icemaker, w/bracket                          103.00                

_______    Q-120 Whole House Filter -  large households           3,438.00 

                Includes 4 cartridges w/ss housing

_______    Q-120 Replacement filter cartridge (1)                       135.00                

 Add Shipping and Handling: $5/cartridge; $10/kit                             

Name (please print, then sign here if paying by credit card)

Address, City, State, Zip

________________    ____________________________     _______________ 

Phone no.                       Credit Card No. & Type                 Exp. Date

If paying by check, please add sales tax if a resident of Florida and mail to: 

                                South Dade Soil & Water Conservation District

1450 N. Krome Ave., Suite 104

Florida City, FL 33034

Questions?  Please call us at 305 242-1288 and ask for Linda or Morgan.  Or email us at:         southdadeswcd@southdadeswcd.org   

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