Order Form

Form Contents

QTY	PRODUCT	UNIT PRICE	SUBTOTAL
DISTRIBUTOR:

	Bi-Arrest 16-oz Concentrate	59.99	$0.00
	16oz OSHA Labeled Spray Container (empty)	4.50	$0.00
	KIT: 1-16oz concentrate & 2-OSHA Labeled 16oz Spray Containers	62.90	$0.00
	GP Sonic	17.95	$0.00
	Instrument Wash	83.95	$0.00
	PowerFlush	49.95	$0.00
	POWERZYME	49.95	$0.00
	T.E.C. System	295.99	$0.00
	T.E.C. Solution 1	39.95	$0.00
	T.E.C. Solution 2	39.95	$0.00
	VacuCleanse	43.95	$0.00
		Total:	$0.00