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ORDER FORM: TELEPHONE: 1-800-909-3507 FAX ORDER LINE: 1-800-342-4988 Bill to: Ship to: (If different)
Name ______
Address ______
City and Province______
Postal Code______Contact Name______Attn:______
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Purchase Order (If applicable) ______E-mail ______
CCard: Visa ( ) MC ( )______Exp Date______Name onCard______
ITEM / KITS / QTY / PRICE / TOTAL1003 KIT / 12 LED focused ultraviolet flash light. Includes powder and gel or oil (please circle) / $93.95
1006 KIT / 21 LED focused ultraviolet flash light. Includes powder and gel or oil (please circle) / $118.95
1007 KIT / 28 LED UV flash light. Includes Media video, powder and gel or oil (Please circle) / $125.95
BOX KIT / Glo Box Kit Includes 1 ea. Bottle of powder and gel or oil (Please circle) / $145.00
SINGLE ITEMS
GGL / Glo-Germ Liquid, oil based, 8 Ounce / $25.45
GGG / Glo-Germ Gel, water based, 8 Ounce / $25.45
GGP / Glo Germ Powder 4 Ounce / $23.45
UVL 1003 / 12 LED UV flashlight compact and light weight. 3 AAA batteries included / $52.95
UVL 1006 / 21 LED UVlight. Compact and light weight. 3 AAA batteries included / $72.95
UVL 1007 / 28 LED UVlight will fluoresce in broad daylight. 3 AAA batteries included / $82.95
GLO BOX / Glo Box Only / $129.00
BRUSH / Glo Brush - With refillable reservoir with cover. Includes 4oz. Powder / $64.95
BOX BULB / Replacement Bulb only for Glo Boxes / $28.95
BEST VALUE KIT PACKAGES - PLEASE INDICATE OIL OR GEL
DCD / Day care Deluxe. Includes our 1007 Kit plus ABC Video & GMMS Book. / $140.95
FSD / Food Service Deluxe. Includes our 1007 kit plus FSF Video only (add manuals for $18.00) / $155.95
LTCD / Long Term Care Deluxe. Includes our 1007 kit plus LTC Infection Control Video / $252.95
ED / Education Deluxe. Includes Glo Box kit plus our 1007 lamp plus Media Video / $205.95
HCD / Health Care Deluxe. Includes Glo Box kit plus our 1007 lamp plus Media Video. / $205.95
VIDEO & TRAINING MATERIALS
MEDIA / "Media Video" -News Media coverage about the importance of Infection Control. / $14.95
SERVSAFE / ServSafe Steps to Food Safety Video French/English / $120.00
H & S / H.I.D.E. & S.E.E.K Video / $80.95
ABC/GMMS / Children’s video and GMMS book / $22.95
GMMS / Germs Make Me Sick Book / $ 7.95
WOG / World of Germs CD / $17.95
GAME / Infection – the Game / $41.95
FSF-DVD / Food Safety First Program - DVD only / $47.95
FSF-KIT / Food Safety First Program DVD and Manuals / $65.95
IC-DVD / Infection Control DVD Video in Long Term Care / $179.95
GF-GUIDE / Germ Freak’s Guide / $20.95
GM / Giant Microbes / $9.95 ea
The Flu______The Common Cold______Stomach Ache_____Sore Throat______
Ear Ache______Cough______E. coli______Louse Head Lice____Salmonella______
H.I.V.______TB______Polio______Hepatitis______
Microbe Themed Neckties/Scarves – Minimum order 15 ties or Scarves
TIES / Design #’s______/ $49.95ea
SCARVES / Design #’s______/ $49.95ea
Fun & Educational Soap Dispensers
DISPENSER / Common Cold Microbe Soap Dispenser / $15.95
/ SUBTOTAL______
S&H varies. Prepaid and billed. S&H. ______
#878774694 Maritimes 13% others 5% G.S.T.______
Ont. Residents add 8% P.S.T.______
TOTAL AMOUNT ______