By submitting this form, I confirm the information I provided above is accurate. I understand the Exchange Coupon Drinkmate provides is based on the information entered above and cannot be changed or altered after this form is submitted. I agree to ship the empty cylinders in accordance with the instructions provided on Drinkmates’ CO2 Exchange page. I understand Drinkmate reserves the right to withhold and/or void Exchange Coupons for violating these terms.