Supply order Form

Transcription

Supply order Form
SUPPLY ORDER FORM
Office:
920-321-0016
Cell:
920-819-8057
Email: [email protected]
CLIENT NAME
CLIENT SIGNATURE
DATE
PHONE # & EMAIL ADDRESS
ADDRESS
DESCRIPTION
COST(ea)
QUANTITY
TOTAL
DESCRIPTION
COST(ea)
$89.00
Frog Above Ground Mineral Cartridge
$115.00
1” Chlorine Tablets 16lb bucket
$62.00
Frog In Ground Mineral Cartridge
$130.00
Granular Chlorine 25 lb Bucket
$100.00
Pool Frog Bam Algecide
$28.00
3” Chlorine Tablets 25 lb bucket
$90.00
Pool Frog AG Bac Pac 5050
$20.00
Skimmer Sticks 25lb bucket
$85.00
Pool Frog XL Bac Pac 540
$48.00
Ph Minus 2lb
$7.00
Spa Frog (Filter Core) Mineral Purifier
$27.00
PH Plus 2lb
$6.00
Spa Frog Floating System
$35.00
Alkalinity Up 5lb
$8.00
Spa Frog Bromine Cartridge
$9.00
Calcium Increaser 16lb
$24.00
Spa Frog Mineral Cartridge
$25.00
Stabilizer/Conditioner 1.75lb
$9.00
Nature 2 Express Cartridge
$120.00
Non Chlorine Shock 1lb bag
$6.00
Nature 2 G Mineral cartridge
$140.00
Shockwave 1lb bag Cal Hypo
$4.00
Instant Frog
$89.00
Algaecide 60 1 Quart
$24.00
1” Chlorine Tablets 25lb bucket
DESCRIPTION
COST
Synergy Small Box
$75.00
Synergy Initiator 12.5lb
$42.00
Synergy Large Box
$135.00
Synergy Tabs
Synergy Clear 1lb
QUANTITY
TOTAL
$40.00
$10.00
QUANTITY
DESCRIPTION
COST
Clear and Perfect Clarifier
$24.00
Cover Free
$32.00
Pool Cover Cleaner
$18.00
Metal Free 1 Liter
$26.00
Filter Perfect
$17.00
Stain Free
$38.00
Phosfloc
$32.00
DESCRIPTION
COST
Case 12.5% Liquid Chlorine
$14.00
Case Muratic Acid
$28.00
DESCRIPTION
COST
Filter Sand 50lb bag
$12.00
Stanley DLX Leaf Rake
$25.00
Pool Salt 40lb bag
$28.00
Stanley Alum Leaf Skimmer
$20.00
Stanley Gunite Vac Head
$38.00
Stanley DLX Vinyl Vac Head
$34.00
Stanley DLX Alum Brush 18”
$22.00
Stanley 1.5” Backwash Hose
$16.00
DESCRIPTION
COST
1.5” x 35’ Vac Hose
$43.00
1.5” x 45 Vac Hose
$60.00
1.5” x 50’ Vac Hose
$65.00
Fiberglass 8-16 Telepole
$89.00
Aluminum 8-16’ Telepole
$36.00
QUANTITY
QUANTITY
QUANTITY
TOTAL
TOTAL
TOTAL
TOTAL
QUANTITY
Required
Minimum order of $50.00
TOTAL
Office:
920-321-0016
Cell:
920-819-8057
Email: [email protected]
$50.00 Minimum Order
Required for Delivery
SUPPLY ORDER FORM
SPA CHEMICALS
SOLAR COVERS
DESCRIPTION
COST(ea)
QUANTITY
TOTAL
DESCRIPTION
COST(ea)
$67.00
Renew Shock 2.2lb bottle
21’ Rd Solar Cover
$90.00
Chlorinating Granules 5lb bottle
$45.00
24’ Rd Solar Cover
$125.00
Bromine Tabs 4lb
$42.00
27’ Rd Solar Cover
$140.00
Foam Down 1 Quart
$22.00
28’ Rd Solar Cover
$175.00
Spa Defender 1 Quart
$22.00
30’ Rd Solar Cover
$200.00
Metal Gon 1 Pint
$10.00
33’ Rd Solar Cover
$225.00
Instant Cartridge Cleaner Spray
$14.00
12’x24’ Oval Solar Cover
$66.00
Spa Algecide 1 Quart
$14.00
15’ x 30’ Oval Solar Cover
$90.00
Enzyme 1 Quart
$16.00
16x 32 Oval Solar Cover
$140.00
Calcium Booster 1 Quart
$8.00
18x34 Oval Solar Cover
$140.00
Alkalinity Increaser 2lb bottle
$12.00
14 x 28 Rectangle Solar Cover
$100.00
Bright and Clear 1 Quart bottle
$18.00
16’ x 36’ Rectangle Solar Cover
$150.00
Spa Down 2.5lb bottle
$7.00
18’ x 40’ Rectangle Solar Cover
$195.00
18’ x 36’ Rectangle Solar Cover
$170.00
20’ x 40’ Rectangle Solar Cover
$225.00
30’ x 50’ Rectangle Solar Cover
$377.00
18’ Rd Solar Cover
DESCRIPTION
COST
Rocky Reel System to 24’ W
$620.00
Oddyssey EMX IG Reel System
$350.00
Oddyssey M800 AG Reel System
$91.00
EZ Pool 20 lb Bucket
$182.00
POOL HEATERS
Hayward FDN 150 Heater
$1,800.00
Hayward FDN 250 Heater
$2,200.00
Fafco 4’ x 20’ Solar Heating Panel
$400.00
QUANTITY
TOTAL
COST
Interfab Wild Ride White Slide
$2.300.00
Interfab X Stream Grey Slide
$2,999.00
SR Smith Typhoon Slide
$2,899.00
DESCRIPTION
COST
Hayward Tigershark Cleaner
$999.00
Tigershark Cartridge Refill
$85.00
SmartPool NC22 Cleaner
$450.00
SmartPool NC52 Cleaner
$650.00
SmartPool Cleaner Bags 5 pk
$38.00
Zodiac Wahoo Cleaner
$250.00
QUANTITY
TOTAL
ALTERNATE SANITIZERS
SLIDES
DESCRIPTION
TOTAL
TOTAL
$300.00
COST
QUANTITY
TOTAL
POOL CLEANERS
QUANTITY
DESCRIPTION
QUANTITY
COST
EZ Pool 10 lb Bucket
SOLAR REELS
DESCRIPTION
$28.00
QUANTITY
TOTAL
DESCRIPTION
COST
Delta E-40 UV System
$770.00
Delta Replacement Bulb
$200.00
Hayward Salt N Swim System
$650.00
Hayward SS Rep Cell
$300.00
QUANTITY
TOTAL
Total Cost: __________________________________________
Tax (5.5%): _________________________________________
TOTAL: ___________________________________________
Signature:________________________ Date:_______________
Delivery is free to clients in zone 1 of our service area trip charge zones map. See map for additional delivery fees. Delivery service is available only on Fridays. Credit Card must be on file prior to delivery. You are
financially Responsible for the timely payment of your outstanding bill per our payment policy. You will be responsible for any and All collection agency fees up to 50% of the amount place with the collection agency.
In the event we seek legal action for the Collection on your account, you will be responsible for any and all legal fees associated with court costs, garnishments and Attorneys fees. All sales are final and non returnable/
nonrefundable. Other items are available upon request. Delivery will be left on front porch unless otherwise noted by client. Invoice will be posted to credit card on file at time of delivery. Prepayment may be made by
check as well. $50.00 minimum order is required for free delivery. Order must be received by the Thursday prior to delivery . For security call Pool Pros at 920-321-0016 and provide Credit Card info directly.
REMIT to:
408 N Maple Ave Green Bay WI 54303
920-321-0016

Similar documents

b. - First Choice Medical Supply

b. - First Choice Medical Supply Provides superior performance on the nursing floor and in the laundry. Stay-dry surface and high absorbency protects patients and bed liners. Stain resistant, Therma-shield barrier with rounded cor...

More information