New Order Form Full Name:* Your full name Phone Number*Best phone to reach you:Email Address*Best email to contact you Billing Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Spray / Solution OptionsPlease indicate what you would like to order100 ml Pump Bottle 100 ml Pump Bottle of Disinfectant Price: $ 3.00 CAD Quantity: 946 ml Spray Bottle 946 ml Spray Bottle of Disinfectant Price: $ 10.00 CAD Quantity: 4 L Jug 4 L Jug of Disinfectant Price: $ 25.00 CAD Quantity: 20 L Pail 20 L Pail of Disinfectant Price: $ 90.00 CAD Quantity: Atomizer Gun Atomizer Gun including 4 L Jug FREE Price: $ 125.00 CAD Quantity: Enter coupon code here for additional discounts: Discounts will show on final sale Product Sub-total ** $ 0.00 CAD Get your 2020 Disinfecting Solution by:* Pick up at Bay 1 - 4620 Pacific Rd NE, Calgary Deliver / Ship (Charges may apply) Other Other detail:** Some restrictions may apply. Appropriate sales tax and any delivery costs will be applied and the total amount will be confirmed with you prior to processing your order. CAPTCHAEmailThis field is for validation purposes and should be left unchanged.