Supply Order

Supplies must be ordered at least ONE WEEK in advance. Order enough for at least TWO WEEKS at a time.
If you have questions about your order, call your Area Manager: Justin 330-350-1293 or Melissa 330-421-3053

Please submit one form per building/account. Please, request pick-up or return dirty microfibers or mop heads, if needed. If vacuum is ordered, old vacuum must be provided and reason for repair is needed.

Supply Order Form

* Indicates required field

Ordered By *

First

Last

Phone Number *

Building/Account Name *

Select One *

Microfibers Rags (Please note how many)

Red *

Blue *

Yellow *

Mop Heads (Please note how many)

Green Rope Mop *

Blue Rope Mop *

18-inch Dust Mop *

24-inch Dust Mop *

36-inch Dust Mop *

48-inch Dust Mop *

Floor Supplies (Please note how many)

Broom *

Dust Pan *

Mop Handle *

Dust Mop Frame *

Tribase/Stride Floor Cleaner (Orange) *

Auto Scrubber Pads (Size and Color) *

MicroMuscle/Degreaser (Green) *

Buffing Pads (Size and Color) *

Proxy Carpet Cleaner *

Bathroom Supplies

Clean by Peroxy *

Grout Brush *

CLR *

Clean by 4D (Disinfectant) *

Toilet Bowl Cleaner *

BKF *

Johnny Mop (Toilet Brush) *

Iron Out *

Johnny Mop Caddy *

Bleach *

General Cleaning Supplies

Clean by Peroxy *

Stainless Steel Wipes *

Spray Bottle *

Vinegar *

Green Scrub Pads *

Sprayer Nozzle *

Ammonia *

Magic Eraser *

Gallon Jug Pump *

Endust/Pledge *

Swiffer Refill (Dusters) *

Other *

Odor Eliminator *

Swiffer Duster Kit w/handle *

Gloves

Do you have a latex allergy? *

Yes No

Small *

Medium *

Large *

X-Large *

Vacuum Cleaner Bags, Belts, Etc.

6 qt. Bag (9 Pack, White) *

Extension Cord (50 ft) *

6 qt. Bag (10 pk, Green) *

Vacuum Cleaner Belts *

10 qt Bag (9 pk) *

Vacuum *

Upright Bag (3 Pack) *

Replacement Wand Head *

Consumables (Only if we supply)

Small Garbage Bags (10-16 Gallon) *

Toilet Paper (Regular, 2-Ply or Jumbo) *

Urinal Screens *

Medium Garbage Bags (16-30 Gallon) *

Sanitary Bags *

Urinal Cakes *

Large Garbage Bags (30-60 Gallon) *

Roll Towels *

Hand Soap Gallon *

Brown Multi Fold *

White Multi Fold *

Hand Soap (Pump) *

Other Consumables Needed (List what is needed and how many) *

Submit

Supplies must be ordered​ at least ONE WEEK in advance. Order enough for at least TWO WEEKS at a time. If you have questions about your order, call your Area Manager: Justin 330-350-1293 or Melissa 330-421-3053​