SUPERSAT UNIT ORDER FORM

SUPERSAT UNIT ORDER FORM

Please use a separate form for each unit ordered.

Date
Date Needed
Company
Ordered By
Phone

Ship To Location
Car Wash / Owner
Contact
Address
City
State		Zip

Purchase Order Number
PLEASE FAX COMPLETED PURCHASE ORDER TO BLENDCO SYSTEMS, LLC Fax: (215) 781-3601 Phone: (800) 446-2091

Application / Type of Wash
	Self Service Car Wash		Manufacturer / Model
	In-Bay Automatic Car Wash		Manufacturer / Model
	Tunnel Wash	Cloth tunnel Touchless tunnel	Manufacturer / Model
			Type of metering pump used

SuperSat Tank		37 Gallon
		55 Gallon
		100 Gallon
		Specify

SuperSat Products Needed
Minimum of 7 SuperSat products required with each 37 or 55 gallon set up. Minimum of 11 SuperSat products required with each 100 gallon set up Select “Dual Manifold” if a soap tank is used, or “Direct Inject” if a metering pump is used.
QTY	Product	(option)	Dual Manifold	Direct Inject	Pail Stingers	Alkali Applications	Stainless Steel Dual Inline Injector
	Automatic
	Presoak HA
	Presoak 2000
	Tire Cleaner	Fragrance
		No Fragrance
	Tire & Wheel	Fragrance
		No Fragrance
	Red Presoak	Fragrance
		No Fragrance
	Bay Wash Plus	Fragrance
		No Fragrance
	Foam Brush	Pink
		White
	Tricolor Foam Brush	Red
		Yellow
		Blue
	Truck & Equipment	Normal
		Lo Foam
	Hi Foam
	SS Frag. Bug Remover
	HPH Powder 55-lb box
	SOS Powder 55-lb box
1	Annual Lease ($25)
1	Parts Package ($60) - manifolds, inject rigs, pail stingers, tubing, test kit, light bulb, etc.

OTHER PRODUCTS Please specify quantities, products, and colors if tricolor products are needed
QTY	Product / Container Size	Colors (if applicable)	Pail Stingers

Notes

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