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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.

Todays Date
Month
Day
Year

Dishmachine Rinse Agent (SOLD BY 5 GALLON BUCKET)

Dishmachine Detergent (SOLD BY 5 GALLON BUCKET)

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

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

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

Liquid Laundry Detergent (Sold by the case, 4/1 gallons per case)

Powder Laundry Detergent (Sold by the box, 25 pounds per box)

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

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

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

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

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

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

Enzymes for grease trap (Sold by the 4/1 gallons per case)

Enzymes for grease trap (SOLD BY 5 GALLON BUCKET)

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

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

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

General Purpose Bleach (Sold by the case, 4/1 gal. case)

Powder Insecticide (SOLD BY 25 POUND BUCKET)

Spray bottles for use with ready to use Secure Solution (Sold by each)


Green Wash Bucket (Sold by each)


Red Sanitizer Bucket (Sold by each)


White Rinse Bucket (Sold by each)


For use with spray bottles (Sold by each)


1 ounce pumps that fits on 1 gallon bottles (Sold by each)

Mop Head Medium (Sold by each)

Libman XL Angle Broom (Sold by each)

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

Dishmachine Temp Strips (Sold by 25 per pack)

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