Customer Referral Form

We love when our customers recommend Menehune Water as it is the highest compliment we can receive. If you family, neighbor, co-worker or friend signs up for water delivery service, you will receive 2 bottles of Ultra-Pure Menehune Water for Free!

Your Name *

Your Company Name (if applicable)

Your Phone Number *

Your Email Address *

Your Menehune Account Number (if available)

Referral #1 - Name or Company Name (if applicable) *

Phone Number *

Email Address

Referral #2 - Name or Company Name (if applicable)

Phone Number

Email Address