Bulk Order Form – Mask and More

Complete this bulk order form in order to process your invoice that will be emailed to you. Each order requires a 50% deposit of the full balance, which will be due upon receipt of your invoice. The remaining balance is due once delivery has been confirmed. All orders take a minimum 7-14 days to arrive from the time the deposit has been received.

Name

Company Name

Billing Address

Email Address

Direct Contact Name

Phone Number

Fax Number

Date Order Placed:

Description of Goods: Enter the number (#) of boxes of goods you are ordering.

Blue disposable face masks (10 box minimum, 50 per box)

Latex powder free gloves (10 box minumum, 100 per box)

KN95 face masks (10 box minimum/50 per box)

N95 face masks (10 box minimum/50 per box)

Goggles (10 box minimum/10 per box)

Face Shield Masks (10 box minimum)/10 per box)

Sanitizer (500 ML/10 box minimum/10 per box)

Medical Disposable Bonnets (10 box minimum/100 per box)