Interested in a Primo Water™ Exchange or Refill Station?

Fill out the form below to learn more.

Retail Inquiry

Request More Information

If your business location meets our requirements, we will contact you to begin the process of signing a contract, credit application, & W-9.

First Name

Last Name

Phone

Store/Business Name

Store Address

Suite

City

State

Zip Code

Number of Locations

Is there an existing Refill machine on-site?

Yes

What is the proximity of the nearest Refill machine? (Optional)

Are you a Primo employee?

Yes

Referred By (Optional)

Any additional information or questions (Optional)

I am interested in

Please choose all that apply.

Recycle Center

Exchange Rack Display

Display & Recycle Combo

Refill Machines

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