Home Prepaid Water Cooler Order Form Prepaid Water Cooler Order Form For quick order of a water cooler to be delivered to a location in Yellowknife, Ndilo, Dettah or Bechoko; including airports for furtherance to communities. Name* First Last Phone*Please include extensions when applicableAddress for Delivery* Street Address Address Line 2 City Email Glacier Cook and Cold Water Cooler Price: $ 357.89 CAD Quantity: These are our most popular water coolers, they have a cold water tap and a room temperature water tap. They are available in black or white. Glacier coolers come with 5 years of warranty and are repairable by our techs.ColorBlackWhiteGlacier Hot and Cold Water Cooler Price: $ 405.62 CAD Quantity: This cooler has a cold water tap and hot water tap with a built in childproof handle for your safety. They are available in black or white. Glacier coolers come with 5 years of warranty and are repairable by our techs. ColorBlackWhiteCeramic Crock CoolerPlainTheme or EmbossedThese are an energy efficient option, they require no electricity and cool your water purely through evaporation! They are also a very aesthetically pleasing option, we have them in several different patterns like stripes, flowers and chickens to name a few, or just plain white. We have white ceramic lids for them if you don't like the look of the bottle, and they can use any size of bottle. We stock both wooden and metal stands available for either floor standing or counter. If you would like a list of what theme or embossed coolers we currently have on hand please contact our store via email or phone. firstname.lastname@example.org (867)669-9330QuantitySubtotalTaxTotal $ 0.00 CAD Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.