1. Download and print one of the following order formsMachine Purchase
(customer only) Machine Purchase
Referral Reward Option
2. Print and fill out the form.
Call if you would like assistance.
3. Fax the completed form to the number below!
Enagic® Distributor ID #
Soon you will be enjoying Kangen Water®! We wish you all the best and encourage you to make contact with any questions you might have!