GEORGETOWN ORDER FORM

NOTE: ONLY FILL IN THE ITEMS YOU NEED, OTHERWISE LEAVE ITEM BLANK. IF YOU DO NOT NEED AN ORDER DO NOT SUBMIT A FORM.

THANK YOU.

SCHOOL NAME (No Abbreviations Please)

Todays Date

Month

Day

Year

Group #

YOUR NAME

0312-5 - Zip Dry (Rinse Agent)

Dishmachine Rinse Agent (SOLD BY 5 GALLON BUCKET)

0350-5 - Ultra Cycle

Dishmachine Detergent (SOLD BY 5 GALLON BUCKET)

0380-5 - Alchlor

Dishmachine Sanitizer (SOLD BY 5 GALLON BUCKET)

0306-1 - Lime Eliminator

Dishmachine Delimer (Sold by the case, 4/1 gallons per case).

0301-1 - Raze

Pot and Pan Detergent (Sold by the case, 4/1 gallons per case)

DUO-25

3 Compartment Sink Sanitizer (Sold by the case, 4/1 gallons per case)

0180-1 - Grime Buster

Heavy Duty Floor Cleaner (Sold by the case, 4/1 gallons per case)

0185-1 - Magnificent Seven

Neutral Floor Cleaner (Sold by the case, 4/1 gallons per case)

LEMON - Lemon Disinfectant

Disinfectant Cleaner/Degreaser (Sold by the case, 4/1 gallons per case)

0115-1 - Blue Dew

Glass Cleaner (Sold by the case, 4/1 gallons per case)

0101-1 - Sanni Soft

Foaming Lotion Hand Soap (Sold by the case, 2/1 gallons per case)

039-QT - Enzymes

Enzymes for grease trap (Sold by the case, 6 qts per case)

039-5 - Enzymes

Enzymes for grease trap (SOLD BY 5 GALLON BUCKET)

0188-QT - Glisten

Stainless Steel Cleaner (Sold by the case, 6 qts per case)

0329-QT - Beyond Green

Oven and Grill Cleaner (Sold by the case- 6 qts per case)

0169-1 - Freezer Cleaner

Freezer Cleaner (Sold by the case, 2/1 gal. case)

42-8013RV - Nibor-D

Powder Insecticide (Sold by the 25 pound bucket)

QUAT1 - Quat Test Strips

Test strips for testing Sanitizer in 3 compartment sink (Sold by 100 strips per vial)

5506 - White Rinse Bucket

White Rinse Bucket (Sold by each)

Please type service requests or other needs here