adolf Order Form

        Order Form

              Unfortunately this page is inoperable.  Please call (800) 921-1722 to place an order.

1. Fill in the shipping information below.
2. Mark the quantity for the desired product(s).  Use TAB to move to next field.
3. When finished, push the Submit button.

The order will be sent to the PolyGlide offices for processing.

You will be contacted by phone or e-mail to confirm the order and shipping charges before your order is shipped.

                                                         Now Accepting:

                                                            

           Credit card orders can only be taken by phone.  Please call (800) 921-1722.
 

               Use [TAB] to move between fields.  DON'T press [ENTER] until finished.

  Company Name
  Contact Name
 Ship To Address
 City, State, Zip
 Phone Number
 P.O. Number
 Email Address

Qty.
Description
Cost
40PGX       Poly Glide 40lbs                           $225.00
20PGX       Poly Glide 20lbs $128.00
10PGX       Poly Glide. 10lbs $70.00
40WGX      Poly Wind Guard 40lbs $246.00
20WGX      Poly Wind Guard 20lbs $138.00
10WGX      Poly Wind Guard 10lbs $78.00
40NBX      Poly Neutral Beads 40lbs $265.00
20NBX      Poly Neutral Beads 20lbs $148.00
10NBX      Poly Neutral Beads 10lbs $83.00
40WRX     Poly Wind Resister 40lbs $270.00
20WRX     Poly Wind Resister 20lbs $150.00
10WRX     Poly Wind Resister 10lbs $84.00
40MWX    Poly MegaWind 40lbs $130.00
20MWX    Poly MegaWind 20lbs $76.00
10MWX    Poly MegaWind 10lbs $45.00
40PB         Poly Blaze 40lbs 256.00
20PB         Poly Blaze 20lbs 143.00
10PB         Poly Blaze 10lbs 82.00
40PEM      Poly Eastern Mix 40lbs 164.00
20PEM      Poly Eastern Mix 20lb. box 87.00
10PEM      Poly Eastern Mix 10lbs 47.00
AZ             1 gal. Arizona Seal & Glaze 0
PTS           1 gal. Poly Ultra Seal $70.00
PTC           1 gal. Poly Tri-Coat 0
PUG          1 gal. Poly Ultra Glide 0
PCN          1 gal.  Poly Court Neutralizer $30.00
PPS           1 gal. Poly Power Strip 0
PSS           1 gal. Poly Sure Strip $35.00
USB1        1 gal. Poly Ultra Spray Buff "NEW" $70.00
USB32      32 oz. Poly Ultra Spray Buff "NEW" $30.00
SS             Speed Spray 8 oz. "NEW" $25.00
TBA         18" T-Bar Applicator Complete $75.00
NS            Nylfoam Sleeve $25.00
MG          Maintenance Guides N/C
MFS36    36" Microfiber Wet Mop Set $110.00
MFD36   36" Microfiber Dust Mop  $25.00

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