Order Form Step 1: Select Products Product Name Price - Description Qty Cleaner Power Clean - $102.00 - 1 Gal (4/Case) $71.00 - 1/2 Gal (4/Case) -12345678910111213141516171819202122232425 Turbo Clean - $83.00 - 1 Gal (4/Case) $52.00 - 1/2 Gal (4/Case) -12345678910111213141516171819202122232425 Disinfectant Cid-A-L - $89.00 - 1 Gal (4/Case) $56.00 - 1/2 Gal (4/Case) -12345678910111213141516171819202122232425 DuO Air Sanitizer DuO Air Sanitizer Sampler - $66.00 - 8oz Bottle w/Sprayer $60.00 - 8 oz Refill Bottle (6/Case) $40.00 - 1 oz Full (12/Case) -12345678910111213141516171819202122232425 DuO Air Sanitizer Rose Boquet - $44.00 - 8 oz Bottle w/Sprayer $40.00 - 8 oz Refill Bottle (4/Case) $12.95 - 8 oz Single Sprayer $11.95 - 8 oz Single w/ Cap $40.00 - 1 oz Full (12/Case) $18.00 - 1 oz Empty (12/Case) $4.45 - 1 oz Single Spritzer -12345678910111213141516171819202122232425 DuO Air Sanitizer Nature Fresh - $44.00 - 8 oz Bottle w/Sprayer $40.00 - 8 oz Refill Bottle (4/Case) $12.95 - 8 oz Single Sprayer $11.95 - 8 oz Single w/Cap $40.00 - 1 oz Full (12/Case) $18.00 - 1 oz Empty (12/Case) $4.45 - 1 oz Single Spritzer -12345678910111213141516171819202122232425 DuO Air Sanitizer Fresh Linen - $44.00 - 8 oz Bottle w/Sprayer $40.00 - 8 oz Refill Bottle (4/Case) $12.95 - 8 oz Single Sprayer $11.95 - 8 oz Single w/Cap $40.00 - 1 oz Full (12/Case) $18.00 - 1 oz Empty (12/Case) $4.45 - 1 oz Single Spritzer -12345678910111213141516171819202122232425 DuO Air Sanitizer Fresh Lemon - $44.00 - 8 oz Bottle w/Sprayer $40.00 - 8 oz Refill Bottle (4/Case) $12.95 - 8 oz Single Sprayer $11.95 - 8 oz Single w/Cap $40.00 - 1 oz Full (12/Case) $18.00 - 1 oz Empty (12/Case) $4.45 - 1 oz Single Spritzer -12345678910111213141516171819202122232425 DuO Air Sanitizer Fresh Floral - $44.00 - 8 oz Bottle w/Sprayer $40.00 - 8 oz Refill Bottle (4/Case) $12.95 - 8 oz Single Sprayer $11.95 - 8 oz Single w/Cap $40.00 - 1 oz Full (12/Case) $18.00 - 1 oz Empty (12/Case) $4.45 - 1 oz Single Spritzer -12345678910111213141516171819202122232425 DuO Air Sanitizer Fresh Apple - $44.00 - 8 oz Bottle w/Sprayer $40.00 - 8 oz Refill Bottle (4/Case) $12.95 - 8 oz Single Sprayer $11.95 - 8 oz Single w/Cap $40.00 - 1 oz Full (12/Case) $18.00 - 1 oz Empty (12/Case) $4.45 - 1 oz Single Spritzer -12345678910111213141516171819202122232425 Bath / Shower Oils Comfortall - $170.00 - 1 Gal (4/Case) $92.00 - 1/2 Gal (4/Case) $63.00 - 8 oz Full (12/Case) $6.00 - 8 oz Empty (6/Case) -12345678910111213141516171819202122232425 Gerisol - $124.00 - 1 Gal (4/Case) $72.00 - 1/2 Gal (4/Case) -12345678910111213141516171819202122232425 Therasol - $169.00 - 1 Gal (4/Case) $93.00 - 1/2 Gal (4/Case) $63.00 - 8 oz Full (12/Case) $6.00 - 8 oz Empty (6/Case) $5.95 - 8 oz Single Bottle -12345678910111213141516171819202122232425 Body Wash / Shampoo Perine - $71.00 - 1 Gal (4/Case) $46.00 - 1/2 Gal (4/Case) $54.00 - 7 oz Full (12/Case) $14.00 - 7 oz Empty (6/Case) $5.85 - 7 oz Single Bottle -12345678910111213141516171819202122232425 Geriwash - $77.00 - 1 Gal (4/Case) $48.00 - 1/2 Gal (4/Case) -12345678910111213141516171819202122232425 Hygena Plus - $102.00 - 1 Gal (4/Case) $70.00 - 1/2 Gal (4/Case) $79.00 - 7 oz Full (12/Case) $14.00 - 7 oz Empty (6/Case) $7.95 - 7 oz Single Bottle -12345678910111213141516171819202122232425 Hygena Foam - $92.00 - 1 Gal (4/Case) $58.00 - 1/2 Gal (4/Case) $70.00 - 7 oz Full (12/Case) $14.00 - 7 oz Empty (6/Case) $6.55 - 7 oz Single Bottle -12345678910111213141516171819202122232425 Hygena RTU - $82.00 - 1 Gal (4/Case) $56.00 - 1/2 Gal (4/Case) $38.00 - 8 oz Full (12/Case) $6.00 - 8 oz Empty (6/Case) $3.95 - 8 oz Single -12345678910111213141516171819202122232425 Hygena Original - $114.00 - 1 Gal (4/Case) $64.00 - 1/2 Gal (4/Case) $49.00 - 8 oz Full (6/Case) $6.00 - 8 oz Empty (6/Case) $4.95 - 8 oz Single Bottle -12345678910111213141516171819202122232425 Cream / Lotion Thera 10 - $389.00 - 1 Gal (4/Case) $219.00 - 1/2 Gal (4/Case) $120.00 - 8 oz Tube (12/Case) $11.95 - 8 oz Single Tube $72.00 - 4 oz Tube (12/Case) $8.55 - 4 oz Single Tube $60.00 - 2 oz Tube (12/Case) $6.55 - 2 oz Single Tube -12345678910111213141516171819202122232425 Thera 5 - $369.00 - 1 Gal (4/Case) $199.00 - 1/2 Gal (4/Case) $100.00 - 8 oz Tube (12/Case) $10.95 - 8 oz Single Tube $60.00 - 4 oz Tube (12/Case) $7.55 - 4 Single oz $50.00 - 2 oz Tube (12/Case) $5.55 - 2 oz Single Tube -12345678910111213141516171819202122232425 Apollo Cream - $399.00 - 1 gal (4/case) $229.00 - 1/2 gal (4/case) $128.00 - 8 oz Tube (12/Case) $13.95 - 8 oz Single Tube $78.00 - 4 oz Tube (12/Case) $7.95 - 4 oz Single Tube $65.00 - 2 oz Tube (12/Case) $6.95 - 2 oz Single Tube -12345678910111213141516171819202122232425 Combo Packs Advantage Intro Pack 6000 - $109.00 - Advantage Intro Pack - 6000 -12345678910111213141516171819202122232425 Advantage Intro Pack 6300 - $240.00 - Advantage Intro Pack - 6300 -12345678910111213141516171819202122232425 Essence Intro Pack - $83.00 - Essence Intro Pack -12345678910111213141516171819202122232425 Accessories Apollo Tub Brush - $29.00 - 19 ½” handle -12345678910111213141516171819202122232425 Step 2: Provide Your Information First Name * Last Name * Company * Title Street Address City State Zip Email Address * Phone Number * Comments Step 3: Review & Submit Please review the information above before submitting your order request. We will follow up with you to verify your order. Submit Order