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FLOW RESTRICTOR ORDERS
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Water & Wastewater - Flow Restrictor Order Form
If you have a customer number, enter it here:
[
Get Info
]
Date:
Wednesday, March 10, 2010 5:50:12 PM
Company Name:
Contact Name:
Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail Address:
Purchase Order:
Credit Card #:
Expiration Date:
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THE "TRIKLER" ORDER FORM
Quanity
Size
Individual
Total
5.5
GPM
$
5.50
$
0.00
5.0
GPM
$
5.50
$
0.00
4.0
GPM
$
5.50
$
0.00
3.0
GPM
$
5.50
$
0.00
2.0
GPM
$
5.50
$
0.00
1.5
GPM
$
5.50
$
0.00
1.0
GPM
$
5.50
$
0.00
.75
GPM
$
5.50
$
0.00
.50
GPM
$
5.50
$
0.00
.25
GPM
$
5.50
$
0.00
STARTER KIT
$
27.50
$
0.00
TRIKL/AIR - ORDER FORM
Quanity
Size
Individual
Total
5.5
GPM
$
6.75
$
0.00
5.0
GPM
$
6.75
$
0.00
4.0
GPM
$
6.75
$
0.00
3.0
GPM
$
6.75
$
0.00
2.0
GPM
$
6.75
$
0.00
1.5
GPM
$
6.75
$
0.00
1.0
GPM
$
6.75
$
0.00
.75
GPM
$
6.75
$
0.00
.50
GPM
$
6.75
$
0.00
.25
GPM
$
6.75
$
0.00
STARTER KIT
$
33.75
$
0.00
Starter Kits" contain one (1) each of sizes 4.0, 3.0, 2.0, 1.0, and 0.5 gpm.
THE "AIR HAMMER"
Unit Price
Quantity
Total
$
229.00
$
0.00
Total Cost: $
0.00
PLEASE HAVE A SALESMAN CONTACT ME REGARDING A WASTE WATER TREATMENT SYSTEM
There is a $35.00 minimum order required. Orders ship via UPS.
Shipping and handling charges will be added to your invoice.
