Please use the form below for order placement, OR call Customer Assistance at 1-866-663-1982. We will forward your order information to one of our Authorized Dealers.
Thank you for your order.
Company Name
*
Contact Name
*
Phone Number
*
Fax Number
*
Email Address
*
Address Line 1
Address Line 2
City
*
State
*
Zip Code
*
Best Method to Contact You
2. Product Selection:
Please select product(s) from the list below.
Multiple selections can be made. You will receive a quote in
less than one hour during regular hours of operation. Please
call 1-866-663-1982 if you need immediate attention.
Adult Height Portable
Sinks
PremierTM Adult with ABS Single
Basin and Top
QTY
PremierTM Adult with Single
Stainless Steel Basin
QTY
PremierTM Adult with Double
Stainless Steel Basin
QTY
PremierTM Adult with Triple
Stainless Steel Basin
QTY
Eye Wash Station with ABS Single Basin
and Top
QTY
Preschool Height
Portable Sinks
Lil' PremierTM Preschool ABS Single
Basin
QTY
Lil' PremierTM Single Stainless Steel
Basin
QTY
Diaper Changing Station
Portable Sink
Kiddie StationTM with ABS Single Basin
QTY
Kiddie StationTM with Single Stainless
Steel Basin
QTY
Kiddie StepTM Slip-resistant toddler
step
QTY
Four Basin Station
Portable Sink
DeluxTM with 2, Double Stainless
Steel Basins
QTY
Lil' DeluxTM with 2, Double Stainless
Steel Basins
QTY
Steramine 200 PPM
Quaternary Sanitizer
Express Pack with 10- 1 oz packets
QTY
Master Pack with 10- Express Packs
QTY
Sanitizer Starter Kit
QTY
Accessories for
Portable Sinks
EZ Flow Water Sensor
QTY
EZ Fill-N-Roll Tank Dolly and Fill
Tube Kit
QTY
EZ-Fill 4.5' Refill Tube
QTY
5-Gallon Water Tank
QTY
6-Gallon Water Tank
QTY
By submitting this form you
are agreeing that your information will be sent to one
of our dealers. You should receive your quotation
directly from one of our Authorized Dealers by the
contact method you chose within one hour during regular
hours of operation for each dealer. Hours of operation
may vary. I AGREE