PURCHASE ORDER FORM

For agencies requiring invoicing using a Purchase Order Number, for quantities of more than 20 boxes of Chief’s Wipes, 24 cartons of Captain’s Wipes, or 36 packs of Lieutenant’s Wipes, or for other special orders, please complete the form below.

Helping firefighters remove harmful toxins and carcinogenic matter to reduce the risk
of cancer and other occupational illnesses.

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