CANADIAN BULK ORDER FORM - SERVICE DEPARTMENT
UNIT QTY
CAT. NO.
WEIGHT
QTY
PRODUCT NAME
COST
TOTAL $
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01152
TBD
x 4
ALGAE STRIP 1 USG **
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01154
TBD
x 1
ALGAE STRIP 5 USG *
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01156
TBD
x 1
ALGAE STRIP 55 USG *
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
11152
TBD
x 4
ALGEX 1 USG *
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
11154
TBD
x 1
ALGEX 5 USG *
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
11156
TBD
x 1
ALGEX 55 USG *
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01242
TBD
x 4
ALUMABRITE Concentrate 1 USG *
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01244
TBD
x 1
ALUMABRITE Concentrate 5 USG *
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01262
TBD
x 4
ALUMETRON 1 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01264
TBD
x 1
ALUMETRON 5 USG
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01112
TBD
x 4
BOAT CLEAN PLUS Concentrate 1 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01114
TBD
x 1
BOAT CLEAN PLUS Concentrate 5 USG
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01122
TBD
x 4
BOAT SCRUB 1 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01124
TBD
x 1
BOAT SCRUB 5 USG
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01312
TBD
x 4
GREEN GENIE 1 USG **
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01314
TBD
x 1
GREEN GENIE 5 USG **
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01316
TBD
x 1
GREEN GENIE 55 USG **
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01432
TBD
x 4
INFLATABLE BOTTOM SPRAY 1 USG *
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01434
TBD
x 1
INFLATABLE BOTTOM SPRAY 5 USG *
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01222
TBD
x 4
POLY GUARD 1 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01224
TBD
x 1
POLY GUARD 5 USG
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01132
TBD
x 4
PREMIUM BOAT SHINE 1 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01134
TBD
x 1
PREMIUM BOAT SHINE 5 USG
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01252
TBD
x 4
REPELIN 1 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01254
TBD
x 1
REPELIN 5 USG
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01212
TBD
x 4
SPEED CLEAN 1 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01214
TBD
x 1
SPEED CLEAN 5 USG
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
01422
TBD
x 4
SURE STEP 1USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
01424
TBD
x 1
SURE STEP 5 USG
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
11122
TBD
x 4
VS 721 BOTTOM COAT 1 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
11124
TBD
x 1
VS 721 BOTTOM COAT 5 USG
0
4
8
12
16
20
24
28
32
36
40
44
48
52
56
60
64
68
72
76
80
11212
TBD
x 4
WATERLINE STAIN REMOVER 1 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
11214
TBD
x 1
WATERLINE STAIN REMOVER 5 USG
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
11216
TBD
x 1
WATERLINE STAIN REMOVER 55 USG
* Hazmat Shipping
** Hazmat Shipping Canada Only
SUBTOTAL $
Less Discount (If Applicable)
Discount will be calculated with confirmation of the order
Plus Freight (Less Freight Allowance)
Freight will be calculated with cofirmation of order
Plus Tax (If Applicable)
Tax will be calculated with confirmation of the order
SEE FULL PRICE LIST FOR TERMS & CONDITIONS, VOLUME DISCOUNTS
CUSTOMER / COMPANY NAME
STREET
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
FAX NUMBER
E-MAIL
DATE OF ORDER
P.O. NUMBER
WHEN IS ORDER REQUIRED
STATE TAX NO.
TERMS
CONTACT NAME
NOTES
CONFIRMATION REQUIRED
AURORA ACCOUNT MANAGER
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