• U.S. Irrigation order form

    U.S. Irrigation order form

    [One form per purchase order number; multiple Distributors can be chosen for each order. To Order By Phone 1-800-438-6071]
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  • CUSTOMER SHIP TO ADDRESS

  • CUSTOMER BILL TO ADDRESS

  • SELECT YOUR REP

    • If the Ship-To State is AK, ID, MT, ND, OR, SD or WA, please select Craig Smith.
    • If the Ship-To State is AZ, CA, CO, HI, KS, NE, NV, NM or UT, please select Nathan Hicks.
    • If the Ship-to State is anything else, no selection is necessary.

     

  • Servicing Distributor For This Order

  • "Servicing Distributors" are authorized UPL Aquatics Distributors with aquatic specialists trained in the use of UPL Aquatic Products.  These "Servicing Distributors" serve as a partner to UPL in supporting our End-Users in the proper use of UPL Aquatic Products.   Selecting a "Servicing Distributor" will give that company sales credit for this sale.  Multiple selections can be made.  If this does not apply, please select "None".  

  • Product, Pack, Volume, & Price Information

    Purchase Order Volume must be entered in volume quantities reflective of the pack size [i.e., 5 for the 2 X 2.5's / 125 for the 125s / and 250 for the 250s].  
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    Product Name Pack Size Product Code UNIT OF MEASURE MINIMUM ORDER INCREMENTS PALLET QUANTITY
    CASCADE® 2 x 2.5 GAL 6020819   GAL 1 Pallet  180 GAL 
    CASCADE 250 GAL  6020167 GAL  250 GAL 250 GAL
     
    TETON®  2 x 2.5 GAL 6020206  GAL    1 Pallet 180 GAL
     
    TETON 125 GAL 6020359  GAL   125 GAL  125 GAL
    TETON 250 GAL 6020212 GAL 250 GAL 250 GAL
               
    CURRENT® 2 X 2.5 GAL   6020262 GAL  1 PALLET  180 GAL 
    CURRENT 250 GAL   6020261  GAL 250 GAL  250 GAL 
    SYMMETRY® NXG  2 X 2.5 GAL  6020288  GAL 1 PALLET  180 GAL 
    SYMMETRY NXG 250 GAL   6020343 GAL  250 GAL  250 GAL 
    TOP DECK™  2 X 2.5 GAL  6021594 GAL   1 PALLET  180 GAL
    TOP DECK  250 GAL 6021680   GAL  250 GAL  250 GAL 

    Freight prepaid on pallet quantities only. Customer will be charged freight for all orders less than pallet quantities. 

  • SPECIAL INSTRUCTIONS

  • Should be Empty: