| DATE: | PURCHASE ORDER NO.: |
| SOLD TO: NAME: |
SHIP TO: NAME: |
| ADDRESS: | ADDRESS: |
| CITY | CITY |
| STATE/ZIP: | STATE/ZIP: |
| PHONE: | PHONE: |
| E-MAIL: | E-MAIL: |
| ITEM DESCRIPTION | UNIT PRICE | QUANTITY | TOTAL PRICE |
| Turbine Kit | $25.00 | ea. | $ |
| Original "Swirlon" Kit | $15.00 | ea. | $ |
| Single Inlet Wheel | $5.00 | ea. | $ |
| Double Inlet Wheel | $5.00 | ea. | $ |
| Impeller Wheel | $5.00 | ea. | $ |
| Propeller Wheel | $4.00 | ea. | $ |
| Swirlon Wheel | $3.00 | ea. | $ |
| Male Garden Hose X 1/2" Female Snap-Loc Fitting | $8.50 | ea. | $ |
| 1/4" Snap-Loc X 1/2" Snap-Loc Reducer | $3.25 | ea. | $ |
| 1/2" Snap-Loc Wye | $4.90 | ea. | $ |
| 1/2" Snap-Loc Hose Segments | $9.75 | ea. | $ |
| 1/2" Male Snap-Loc X Brass Female Garden Hose Fitting | $8.35 | ea. | $ |
| 1/4" Snap-Loc Round Nozzle - 1/16" Orifice | $1.50 | ea. | $ |
| 1/4" Snap-Loc Round Nozzle - 1/8" Orifice | $1.50 | ea. | $ |
| 1/4" Snap-Loc Round Nozzle - 1/4" Orifice | $1.50 | ea. | $ |
| 1/2" Snap-Loc Round Nozzle - 1/4" Orifice | $1.50 | ea. | $ |
| 1/2" Snap-Loc Round Nozzle - 3/8" Orifice | $1.50 | ea. | $ |
| 1/2" Snap-Loc Round Nozzle - 1/2" Orifice | $1.50 | ea. | $ |
| 1/2" Snap-Loc Flare Nozzle - 1-1/4" Tip | $5.00 | ea. | $ |
| 1/2" Snap-Loc Flare Nozzle - 1-1/2" Tip | $5.00 | ea. | $ |
| 1/2" Snap-Loc Flare Nozzle - 1-3/4" Tip | $5.00 | ea. | $ |
| 1/2" Snap-Loc Flare Nozzle - 2" Tip | $5.00 | ea. | $ |
| Take-Up Line | $8.10 | ea. | $ |
| Assembly Pliers | $15.60 | ea. | $ |
| Separation Wedge | $10.25 | ea. | $ |
| Garden Hose Valve | $3.75 | ea. | $ |
| Tank-Bottom Fitting | $19.25 | ea. | $ |
| SUB-TOTAL | $ | ||
| SALES TAX (MASSACHUSETTS RESIDENTS ONLY - 5%) | $ | ||
| SHIPPING (US - 10%, INTERNATIONAL - 30%) | $ | ||
| TOTAL AMOUNT ENCLOSED | $ | ||
Send your order total, payable to Hydro Power Contest,
along with this form, to:
Just click to download a PDF version of this RESOURCE CATALOG ORDER FORM. You will need Adobe Reader to view and print the PDF file.