SMARTFLOOR SUPPLIES CUSTOM RE-ORDER FORM

Date

Note: Additional orange pad supplies must be approved by warehouse facilities

Costco Warehouse Number

Costco Name

Costco Address

State

Zip Code

Phone Number

Manager First Name

Manager Last Name

Title

Email (Separate Multiple Email Addresses With Commas)

Cleaner

Rejuvenating Cleaner

Select Month

Select The Pad

DTI Blue 20″

DTI Blue 20″

DTI Blue 20″ Month

DTI Blue 18″

DTI Blue 18″

DTI Blue 18″ Month

DTI Blue 17″

DTI Blue 17″

DTI Blue 17″ Month

DTI Blue 16″

DTI Blue 16″

DTI Blue 16″

DTI Blue 15″

DTI Blue 15″

DTI Blue 15″ Month

DTI Blue 14″

DTI Blue 14″

DTI Blue 14″ Month

DTI Blue 13″

DTI Blue 13″

DTI Blue 13″ Month

Orange Pads For Heavy Stains. Available For Walk-Behind Only. (1 set of 2 pads)

DTI Orange Pads 16″

DTI Orange Pad 16″

DTI Orange Pads 17″

DTI Orange Pad 17″

DTI Orange Pad 18″

DTI Orange Pad 18″

DTI Orange Pad 20″

DTI Orange Pad 20″

Note: Additional Orange Pad supplies must be approved by warehouse facilities.

The cost of the orange pads will be added to the total in your order confirmation email.

Total

Additional Comment