ORDER FORM

Date of order ________________________________

Item Price     Quantity   Total
SEPTIPRO® (Septic Tank Treatment)
2 lbs (6 months) $32.95                                                              
4 lbs (1 year) $46.95                                                              
8 lbs (2 years) $69.95                                                              
Northel® Toilet Tissue
6 rolls $6.95                                                              
12 rolls $10.95                                                              
Toilet Bowl Cleaner Big Blue Plus
2 Units (6 months) $7.95                                                              
Bleach Stick
2 Units $7.95                                                              
APC All Purpose Cleaner
1 lb. Concentrate $7.95                                                              
ROOTX (Root Killer)
2 lbs. (Rootx) $46.95                                                              
All orders $30.00 and under or shipping to AK, HI, PR, VI, or GU add $6.00 shipping                              
   

Total

   $                          
You can order today by:
1. Printing this order form and sending it to:
   NORTHEL®/SEPTIPRO®
   P.O. Box 581103
   Minneapolis, MN 55458-1103
2. Clicking to send an email order to sales@northel.biz
3. Calling 1-800-481-6061
4. Fax 763-262-9938


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