• Loyalty Card - Bottle Form

    Congrats. Fill this form only if you were referred to do so by a team member. With a loyal bottle you benefit from a lifetime of Fresh, Filtered, Free Water Refills. You never have to buy a plastic bottle again! Learn more below.

  • So we may contact you once your Loyal bottle is ready for pick-up. No junk.

  • Just in case we can't reach you by email.

  • Choose your bottle! The Recycled Loyal bottle is best for home and office use.

  • Up to 15 characters. (ALL CAPS)

  • Your own personal message. Up to 30 words. (ALL CAPS)

  • Barley & Bean is your home! Please share with us any thoughts, comments, suggestions (anything at all), so we can continue on improving your experience :-)

  • Please wait

Do not submit confidential information such as credit card details and account passwords.

Report Abuse
Powered by