email

Company Name:

Address:

Phone #:

Total # of Kits
Ordered

Shipping charge: $ 9.00 per kit

Cleaning Kit Cost: $23.00 per kit

MD's Order Form

To order you must fill out this form below completely. To order more than one kit you must fill in the apporpiate Quantity see below. Print this page and keep it for your own records. All Sales Are Final.

Yes I agree and have read the matirial data safety sheet. I also agree that payment is due first before any shipping confermation is performed. I will recieve my Kit with in a ten day period.
Returns are not allowed. All sales are final.

Please mail check or Money Order to:

MD's Cleaning Kits
3414 Veronica St.
Plano, IL 60545
[email protected]

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MD's Cleaning Kits
3414 veronica St.
Plano, IL 60545
[email protected]