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HORRY 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

$62.22 Dishmachine Rinse Agent (SOLD BY 5 GALLON BUCKET)

$60.72 Dishmachine Detergent (SOLD BY 5 GALLON BUCKET)

$45.90 Dishmachine Delimer (Sold by the case, 4/1 gallons per case).

$57.45 Pot and Pan Detergent (Sold by the case, 4/1 gallons per case)

$64.98 3 Compartment Sink Sanitizer (Sold by the case, 4/1 gallons per case)

$58.70 Liquid Laundry Detergent (Sold by the case, 4/1 gallons per case)

$29.07 Powder Laundry Detergent (Sold by the box, 25 pounds per box)

$51.04 Heavy Duty Floor Cleaner (Sold by the case, 4/1 gallons per case)

$38.40 Neutral Floor Cleaner (Sold by the case, 4/1 gallons per case)

$59.16 Disinfectant Cleaner/Degreaser (Sold by the case, 4/1 gallons per case)

$35.88 Glass Cleaner (Sold by the case, 4/1 gallons per case)

$36.72 Foaming Lotion Hand Soap (Sold by the case, 2/1 gallons per case)

$60.16 Enzymes for grease trap (Sold by the case, 6 qts per case)

$73.36 Enzymes for grease trap (Sold by the 4/1 gallons per case)

$71.40 Enzymes for grease trap (SOLD BY 5 GALLON BUCKET)

$33.24 Stainless Steel Cleaner (Sold by the case, 6 qts per case)

$46.46 Oven and Grill Cleaner (Sold by the case- 6 qts per case)

$40.20 Freezer Cleaner (Sold by the case, 2/1 gal. case)

$49.11 General Purpose Bleach (Sold by the case, 4/1 gal. case)

$133.00 Powder Insecticide (SOLD BY 25 POUND BUCKET)

$11.96 Green Wash Bucket (Sold by each)


$11.96 Red Sanitizer Bucket (Sold by each)


$5.00 White Rinse Bucket (Sold by each)


$10.30 Test strips for testing Sanitizer in 3 compartment sink (Sold by 100 strips per vial)

$25.60 Dishmachine Temp Strips (Sold by 25 per pack)

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


For use with spray bottles (Sold by each)


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

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