Form B I L L T O NAME CITY PERSON TO CONTACT STATE/ZIP S H I P T O NAME CITY STATE ZIP PHONE FAX PERSON TO CONTACT New Customer Existing Customer Customer # or Salesperson PURCHASE ORDER # ORDER DATE REQUESTED SHIP DATE SHIP VIA Fill in Quantities (by pieces) Your cost will be discounted off the catalog prices AIR FRESHENERS 10070 Air freshener apple cinnamon 10 oz Home Select 12.77 10071 Air freshener lavender and chamomile 10 oz Home Select 12.77 10072 Air freshener fresh linen 10 oz Home Select 12.77 10073 Air freshener vanilla magnolia 10 oz Home Select 12.77 10077 Air freshener mixed berries 10 oz Home Select 12.77 10078 Air freshener romantic garden 10 oz Home Select 12.77 10079 Air freshener anti-tobacco 10 oz Home Select 12.77 100804 Air freshener jasmine fresh 10 oz Home Select 12.77 10434 Air freshener fresh water 10 oz Home Select 12.77 10435 Air freshener Hawaiian breeze 10 oz Home Select 12.77 11152 Air freshener cashmere sensations 10 oz Home Select 12.77 11153 Air freshener cherry blossom 10 oz Home Select 12.77 3828 Air freshener 10 OZ Clean linen 12.70 10348 Air Freshener 2PK Gel Adjustable Apple & Cinnamon 12.80 10350 Air Freshener 2Pk Gel Adjustable Fresh Linen 12.80 103519 Air Freshener 2Pk Gel Adjustable French Vanilla 12.80 11155 Air Freshener Automatic Spray Refill 6.17Oz Lavender Chamomile 12.087 11264 Air Freshener Pearl Beads 10oz Apple Cinnamon 12.80 112689 Air Freshener Pearl Beads 10oz Anti Tobacco 12.80 11265 Air freshener Pearl Beads 10oz Lavender & Chamomile 12.80 11266 Air Freshener Pearl Beads 10oz Hawaiian Bay Breeze 12.80 11267 Air Freshener Pearl Beads 10oz Fresh Linen 12.80 3095 Air fresheners warmer & oil 4 asst scents in 96 pc floor display 1 73.92 60FD Air fresheners solid 5 oz 72 units in floor display Duette 72.70 AEROSOL CLEANERS 12173 Ant & Roach Killer 3 oz aerosol Killzone 12.87 *Availability subject to change without notice Updated 12-27-17 LL/Pg 1 of 5
Form 12182 Flying insect killer 3 oz aerosol Killzone 12.87 12177 Insect killer indoor & outdoor 3 oz aerosol Killzone 12.87 104183 Cleaner all purpose 12 oz Chases Home Value 12.87 10034 Cleaner all purpose deodorizing 15.6 oz citrus scent 12.87 1418 Cleaner bathroom 13 oz foaming aerosol Home Bright 12.87 1515 Cleaner bathroom 12 oz super oxygen foaming aerosol 12.87 10406 Cleaner bathroom 12 oz aerosol Chases Home Value 12.87 14214 Cleaner shower 12 oz super foaming aerosol Home Bright 12.87 1415 Cleaner carpet foam 13 oz aerosol Home Bright 12.87 10422 Carpet cleaner 12 oz Chases Home Value 12.87 10403 Disinfectant spray 6 oz linen ( Temp Sold Out ) 12.90 10423 Disinfectant spray 6 oz citrus 12.90 10424 Disinfectant spray 6 oz country rain 12.90 1188 Furniture polish 10 oz orange Chases Home Value 12.87 1422 Furniture polish lemon 10 oz aerosol Home Bright 12.87 10408 Furniture polish 12 oz lemon Chases Home Value 12.87 10409 Furniture polish 12 oz orange Chases Home Value 12.87 9049 Furniture spray dust & glow 10 oz lavender & vanilla 12.87 54567 Furniture Polish 10oz lemon scent Valu Time 12..75 10404 Glass cleaner 12 oz Chases Hone Value 12.87 1419 Cleaner glass & surface 13 oz foaming aerosol Home Bright 12.87 10420 Oven cleaner 12 oz Chases Home Value 12.87 1420 Oven cleaner 13 oz aerosol Home Bright 12.87 1518 Oven cleaner 13 oz fume free aerosol Home Bright 12.87 1414 Toilet bowl cleaner 13 oz brush free aerosol Home Bright 12.87 1423 Toilet bowl cleaner 12 oz super oxygen foaming aerosol 12.87 1806 Spray Starch 14oz Heavy Aerosol Home Bright 12.87 104008 Starch Spray 12oz Aerosol Chases Home Value 12.87 TRIGGER/SPRAY CLEANERS 528 Pet stain & odor remover 24 oz with trigger 12.85 529 Cleaner stainless steel 24 oz with trigger made in USA 12.85 549 Cleaner Amazin all purpose 16 oz degreaser/spot remover with pump 12.85 95000 Cleaner soap scum remover 32 oz with trigger 12.80 95007 Cleaner all purpose with bleach 32 oz trigger spray 12.80 95020 Cleaner pine 32oz with trigger 12.80 95030 Cleaner kitchen & bath all-purpose 32 oz with trigger 12.80 95040 Cleaner after shower daily 32 oz with trigger spray 12.80 95060 Cleaner carpet spot remover 32 oz with trigger 12.80 95070 Cleaner degreaser multi-purpose 32 oz with trigger 12.80 *Availability subject to change without notice Updated 12-27-17 LL/Pg 2 of 5
Form tem # 95080 Cleaner orange 32 oz with trigger 12.80 95085 Cleaner limax 32 oz with trigger 12.80 95090 Cleaner glass clear with ammonia 32 oz with trigger 12.80 95096 Cleaner oxy hard surface 32 oz with trigger 12.80 95010 Fabric Freshener 32 oz with trigger 12.80 95050 Laundry Spot & Stain Remover 32 oz with tigger 12.80 200760 Fabric Refresher & Odor Eliminator 16.9 oz Xtra Tropical Passion 12.87 200761 Fabric Refresher & Odor Eliminator 16.9 oz Xtra Mountain Rain 12.87 200762 Fabric Refresher & Odor Eliminator 16.9 oz Xtra Calypso fresh 12.87 200763 Fabric Refresher & Odor Eliminator 16.9 oz Xtra Crystal Clean Pets 12.87 LIQUID/POWDER CLEANERS & REFILLS 2810 Cleaner all purpose lemon28 oz First Force 15.75 2820 Cleaner all purpose pine 28 oz First Force 15.75 2850 Cleaner all purpose lavender 28 oz First Force 15.75 2860 Cleaner all purpose mountain fresh 28oz first force 15.75 18940 Cleaner citrus all purpose refill 64 oz First Force 8.85 18910 Cleaner lemon all purpose refill 64 oz First Force 8.85 18950 Cleaner refill lavender 64 oz all purpose First Force 8.85 18920 Cleaner refill pine all-purpose 64 oz First Force 8.85 18990 Cleaner refill glass 64 oz First Force 8.85 92556 Cleaner oxygen powder all purpose 16 oz 12.87 100013 Oxi multi-purpose stain remover powder 14 oz jar 12.87 DISH DETERGENTS 101619 Dishwasher detergent 10 ct auto dish pacs Bay Clean 12.77 23302 Dish detergent lime green 32 oz 12.80 23303 Dish detergent lemon fresh 32 oz 12.80 82801 Dish detergent ultra 28 oz citrus grove scent 12.80 82802 Dish detergent ultra 28 oz green apple scent 12.80 82803 Dish detergent ultra 28 oz lemon scent 12.80 82804 Dish detergent ultra 28 oz mountain berry scent 12.80 82805 Dish detergent ultra 28 oz spring blossom scent 12.80 82806 Dish detergent ultra 28 oz oxy blue 12.80 LAUNDRY CLEANERS 1510 Laundry detergent packs 3-in-1 with oxy 10 ct Bright Home 24.87 912 Laundry detergent 1 lb mountain fresh resealable bag 24.90 913 Laundry detergent 1 lb bags ocean burst resealable bag 24.90 10900 Laundry detergent fresh linen 16 oz boxed powder 12.90 10901 Laundry detergent with Oxi-all 16 oz boded powder 12.90 10902 Laundry detergent with fabric softener 16 oz boxed powder 12.90 *Availability subject to change without notice Updated 12-27-17 LL/Pg 3 of 5
Form tem # 9500216 Laundry detergent liquid 32 oz First Force 16.87 95004 Laundry detergent liquid 32 oz dark & delicate 16.87 8030 Fabric softener liquid 24 oz spring purple bottle Viking 12.87 8070 Fabric softener liquid 24 oz floral pink bottle Viking 12.87 8130 Fabric softener liquid 24 oz elegance blue bottle Viking 12.87 8180 Fabric softener liquid 24 oz sensitive white bottle Viking 12.87 95003-16 Fabric softener liquid 32 oz first choice 16.87 101060 Dryer sheets 50 ct island breeze 12.77 101091 Dryer sheets 50 ct fresh linen (temporarily sold out) 12.77 10111 Dryer sheets 50 ct outdoor breeze 12.77 101107 Dryer sheets 50 ct lavender & vanilla 12.77 10155 Dryer sheets 40 ct 3 asst scents in 108 pc floor display 1 83.16 95010 Fabric re-freshener 32 oz with trigger sprayer 12.80 95050 Laundry spot & stain remover 32 oz with trigger 12.80 1806 Spray starch 14 oz heavy aerosol Home Bright 12.87 104008 Spray starch 12 oz aerosol Chases Home Value 12.87 CARPET DEODORIZER 0018 Carpet care rug & room deodorizer fresh linen 15 oz 12.87 0019 Carpet care rug & room deodorizer pet odor eliminator 15 oz 12.87 0017 Carpet care rug & room deodorizer tropical breeze 15 oz 12.87 0016 Carpet care rug & room deodorizer lavender & vanilla 15 oz 12.87 WIPES/CLOTHS 1272P Wipes 6 ct reusable household Arm & Hammer in PDQ 24.77 GLOVES 1252 Gloves latex disposable 10 ct Arm & Hammer 24.77 1261 Gloves latex small 1 pair Arm & Hammer 24.72 1262 Gloves latex medium 1 pair Arm & Hammer 24.72 1263 Gloves latex large 1 pair Arm & Hammer 24.72 32536 Gloves latex 12 ct S-M smooth touch disposable Venom 96.60 TOILET BOWL & MISC. CLEANERS 11268 Toilet bowl cleaner 2 pk lavender air freshener Home Bright 24.70 11275 Toilet bowl cleaner 2 pk ocean fresh air freshener Home Bright 24.70 1125 Toilet Bowl Cleaner 4 n 1 with Bleach 12.65 651 Toilet bowl cleaner blue twin pack Dr. Flush 12.70 1539 Drain opener 32 oz 12.85 9500 Drain opener 32 oz fast acting professional strength First Choice 15.85 1200 Moth balls lavender 4 oz boxed Home Bright 24.77 E304 Moth Balls 4oz Enoz 24.77 281208 Soap pads Dura Blu 8 ct box steel wool 24.80 *Availability subject to change without notice Updated 12-27-17 LL/Pg 4 of 5
Form 802901 Mop & shine floor polish 16 oz made in USA 12.90 10534 Dehumidifier 6.3 oz disposable moisture absorber 12.80 AUTOMOTIVE 101374 Air freshener decorative ice 24.15 101381 Air freshener decorative new car 24.15 10139 Air freshener decorative morning cherry 24.15 10140 Air freshener decorative french vanilla 24.15 10141 Air freshener decorative fresh strawberry 24.15 101510 Air freshener decorative waterfall 24.15 3050 Air freshener 2 pk Hawaiian mist mini gel boxed Auto Bright 24.77 30510 Air freshener 2 pk new car mini gel boxed Auto Bright 24.77 3052 Air freshener 2 pk outdoor fresh mini gel boxed Auto Bright 24.77 3053 Air freshener 2 pk wild berries mini gel boxed Auto Bright 24.77 101305 Air freshener 3 pk waterfall 24.40 10144 Air freshener 3 pk morning cherry 24.40 10145 Air freshener 3 pk French vanilla 24.40 10146 Air freshener 3 pk fresh strawberry 24.40 3301 Air freshener Hawaiian mist car vent stick 5 pk (temporarily sold out) 48.65 3302 Air freshener new car scent car vent stick 5 pk (temporarily sold out) 48.65 3303 Air freshener wild berries car vent stick 5 pk 48.65 3304 Air freshener outdoor fresh car vent stick 5 pk 48.65 10120 Auto care glass cleaner 8 oz spray pump 12.60 10123N Auto care wheel cleaner 8 oz spray pump 12.60 10117 Auto leather and vinyl cleaner and protectant 1ct 9 x 12 24.15 10147 Car wash concentrate 5pk 2.46 oz (70g) 12.60 1184 Cleaner auto alloy wheel 12 oz aerosol Auto Bright 12.87 1182 Cleaner auto upholstery 12 oz aerosol Auto Bright 12.87 1180 Cleaner glass and chrome 12 oz aerosol Auto Bright 12.87 1185 Engine degreaser and cleaner 10 oz aerosol Auto Bright (temp sold out) 12.87 1183 Leather and vinyl protectant 10 ounce aerosol 12.87 21769 Prestone winter diesel fuel additive 32 oz 6 1.20 336 Tire gloss 16 oz 12.85 1181 Tire shine and cleaner 10 oz aerosol Auto Bright (temp sold out) 12.87 *Availability subject to change without notice Updated 12-27-17 LL/Pg 5 of 5