Supply Order Form

*First Name
*Last Name
*Phone
*Email
*Church
*District
Hand Sanitizer Case- Small Bottles (3.4 oz) ($142.20)

80% alcohol, 3.4 oz bottles
36 bottles in each case

Only number values are allowed
Hand Sanitizer Case- Standard Bottles (8 oz) ($59.40)

70% alcohol 8 oz. bottles with vitamin e and aloe
12 bottles to a case

Only number values are allowed
Hand Sanitizer- Gallon ($23.95)
Only number values are allowed
Hand Sanitizer- Gallon Case ($95.80)

Four gallons per case

Only number values are allowed
Refillable Wall Mount Hand Sanitizing Station ($21.99)
Only number values are allowed
Masks- Box ($38.50)

Medical Masks, NOT N95
50 masks in a box

Only number values are allowed
Masks- Case ($1,540)

Medical Masks, NOT N95
1 case has 40 boxes in each case (2000 masks)

Only number values are allowed
Latex Gloves- Box ($6.90)

100 gloves per box

Only number values are allowed
Latex Gloves- Case ($69)

10 boxes of 100 gloves in each case

Only number values are allowed
Communion Cups Case ($120)

1000 cups per case

Only number values are allowed
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