ThermaClear® Partners Order form

Please fill out the form below and we will contact you upon recieving your order.
Allow 7 – 10 days for the most cost effective shipping fee. Expedited shipping can be provided upon request. Add a note below to expedite the shipping method (additional fees apply)

Customer #

Full Name(Required)

Company Name(Required)

ThermaClear® Products

ThermaClear - DX Formula (1 Gallon)

Price: $3,840.00

ThermaClear - DX Formula (1 Quart)

Price: $960.00

ThermaClear - Chiller Formula (1 Gallon)

Price: $3,840.00

ClearInjector M64 (Gen 3) - Commercial Pump

Price: $1,700.00

Pelican Pump Case (Branded w/ Custom Foam)

Price: $415.00

ClearInjector M64 - Replacement Acrylic Reservoir

Price: $125.00

Residential Pump - Yellow Jacket (16oz )

Price: $375.00

ThermaClear - Stickers

Price: $0.00

Total

Please Note: Taxes and shipping charges as appropriate will be added to the final invoice when issued

Purchase Order #

Shipping Address(Required)

Street Address Address Line 2 City State Zip

Note: Prepare one order sheet per ship location

Phone(Required)

Email(Required)

Shipping / Delivery Notes

ECM Technologies Distribution, LLC
2501 W Behrend Drive, Suite 15
Phoenix, AZ 85027
“sustainable solutions for a better tomorrow”
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