*Name: Company Name:

Address:

City: State: Zip Code:

Phone: *Email:

Please indicate quantities desired:

THE ULTRA PURGE PRODUCT LINE

Ultra Purge Low-E Ultra Purge High-E Ultra Purge Pet-E

Ultra Purge HT Ultra Purge CE-E Ultra Purge P-O Ultra Purge Plus

Additional Info & Inquiries:

PLEASE NOTE THE FOLLOWING:

1. Freight Prepaid and billed
2. Volume pricing and recurring shipment programs available. All prices subject to change without notice.
3. Terms are Net 30 days, subject to credit approval. Please Download Our Credit Application
4. Ultra Purge is packaged in 44/lb. buckets. Minimum order 2 buckets / 88 pounds.
5. For all invoices not paid in 30 days, 5% finance charge will be added monthly.