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PrimeMix

PrimeMix Ltd, Nether Compton, nr Sherborne, Dorset DT9 4PZ
Tel: 01935 389069

ORDER FORM

COMPANY: ……………………………………………………………………………………………

SHIPPING ADDRESS:………………………………………………………………………………

……………………………………………………………………………………………………

ACCOUNT NO: ………………………….….           PO NO: ………………………………

TEL NO: …………………………….………………...

CONTACT NAME: ……………………………...  FAX: ……………………………………………..

SIGNATURE: ……………………………………….   DATE ……………………………………….

Please supply the following:

Code

Product description Case pack

No  Cases Required

MALG20

1 litre Algimycin 2000

12

 

MTLCO1

TLC liquid

12

 

MFC01

Filter Cleanse

6

 

MSSS01

Super Sequa Sol

6

 

MSA025

2.5kg Activate

6

 

MSE01

1 litre Enhance

12

 

MSP005

Protect Plus 500ml

24

 

MSF005

Foam Out liquid 500ml

24

 

There is no environmental charge. Carriage is 15 plus VAT on all orders of NETT VALUE BELOW 500.

Please fax your orders through direct to the PrimeMix Administration 01582 629970 and the goods will be sent out overnight