Products:

MAXR PRODUCT ORDER FORM

MAXR 100: Air Conditioning and Refrigeration Systems Additive PRICE: $50.00 per ounce

MAXR 200: Molecular Bonding Anti-Friction Lubricant PRICE: $3.00 per ounce

MAXR PRODUCTS MAY BE PURCHASED IN THE FOLLOWING QUANTITIES:

32 OUNCES: 1 QUART

128 OUNCES: 1 GALLON

7,040 OUNCES: 55-GALLON DRUM

PRODUCT: MAXR 100: QUANTITY

PRODUCT: MAXR 200: QUANTITY

SHIPPING & HANDLING $

TOTAL ORDER AMOUNT $

PURCHASER INFORMATION

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@ prices upon request TOTAL $

@ prices upon request TOTAL $

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PLEASE SEND YOUR ORDER VIA E-MAIL BY CLICKING THE "SEND" BUTTON.

THANK YOU FOR YOUR ORDER! PLEASE ALLOW 3 TO 5 BUSINESS DAYS FOR SHIPPING.