Marianos Distribution

RE-ORDER FORM

21"

Durafloat™ PACKAGED

MAX Float™ PACKAGED

Holographic PACKAGED

PACKAGED

A33031-18 .88

A33032-18 .88

78314-18

77270-18

3.99

3.99

.88

3.99

.88

3.99

Order in multiples of 5. Qty Ordered __________

Order in multiples of 5. Qty Ordered __________

Order in multiples of 6. Qty Ordered __________

Order in multiples of 6. Qty Ordered __________

21"

29"

XtraLife ® NON-PACKAGED

47614-18

1.63

4.99

Chicago Bears Order in multiples of 6. Qty Ordered __________

XtraLife ® NON-PACKAGED

PACKAGED

77100-26

2.89

8.99

46514-26

2.72

8.99

Order in multiples of 3. Qty Ordered __________

28"

Chicago Bears Order in multiples of 3. Qty Ordered __________

31"

XtraLife ® PACKAGED

HeXL ® PACKAGED

HeXL ® NON-PACKAGED

49026-26

49565-26

44640-18

2.89

8.99

2.89

8.99

1.34

3.99

Order in multiples of 5. Qty Ordered __________

Order in multiples of 5. Qty Ordered __________

Order in multiples of 6. Qty Ordered __________

Customer #: __________________________________________ Store #: ______________________________________________ Phone #: _____________________________________________ Contact Name: _______________________________________ 596158

Call 800-241-2094 + Fax 800-880-9759 Pamela Fisher – Ext. 2442

Pricing reflects current market conditions and is subject to change without prior notice.

C4047_2021

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