Product Delivery Request

Need product ASAP, and before your next delivery? Complete this form.

INSTRUCTIONS 1. Complete the required info, below. 2. Order what/how much you need according to each product category (see below). 3. Send the form by clicking SUBMIT, on the last page.

You will receive a confirmation e-mail from us that includes: • Order summary • Total amount due • When to expect your order • How product order will be paid for

Any questions? Call or email us at [email protected]

Shamrock Group customer number: Name: Company: E-Mail address: Phone: Cell Phone: Address: City: State: Zip:

To order product, please click the links below be directed to the specific product category. Product Delivery Request

MinneSoda  Product No. Product Unit (BIB) Quantity  30099 Cola 5gal  30132 Diet Cola 2.5gal  30502 Cherry Cola 2.5gal  30534 Lemon Lime 2.5gal  30552 Diet Lemon Lime 2.5gal  30538 Lemonade 2.5gal  30540 Pink Lemonade 2.5gal  30144 Ginger Ale 2.5gal  30183 Diet Ginger Ale 2.5gal  30104 Margarita 4-1gal bottles  30503 Margarita 2.5gal  30106 Orange Soda 2.5gal  30573 Diet Orange Soda 2.5gal  30109 Quinine 2.5gal  30102 Diet Quinine 2.5gal  30511 Root Beer 2.5gal  30167 Diet Root Beer 2.5gal  30114 Lemon Sour 2.5gal  30522 Alpine Mist 2.5gal  30176 Diet Alpine Mist 2.5gal  30524 Strawberry 2.5gal  30159 Grape Soda 2.5gal  30168 Dr. Better 2.5gal  30581 Diet Dr. Better 2.5gal  30175 Cream Soda 2.5gal  30181 Diet Cream Soda 2.5gal  30561 SunGlo Lime 2.5gal  30169 SunGlo Lime 4-1gal bottles

Coca-Cola  Product No. Product Unit (BIB) Quantity  30003 Coke Classic 5gal  30004 5gal  30006 Cherry Coke 2.5gal  30007 Diet Zero 2.5gal  30009 Mr. Pibb 2.5gal  30010 Sprite 5gal  30014 2.5gal  31003 Coke Zero 2.5gal Product Delivery Request

Teas  Product No. Product Unit Quantity  30261 B.W. Cooper Prem. Unsweetened 2.5gal BIB  30263 B.W. Cooper Green Sweetened 3gal BIB  30269 B.W. Cooper Pomegranate 3gal BIB  30280 Gold Peak Raspberry 2.5gal BIB  30281 B.W. Cooper Organic 2-128oz jugs  30346 Citrus Sun Unsweetened 3-1gal btls

Roaring Lion  Product No. Product Unit Quantity  33000 Roaring Lion 3gal BIB  33000A Roaring Lion 1gal BIB  33001 Roaring Lion 24-12oz can  33002 Roaring Lion Sugar Free 1gal BIB  33003 Roaring Lion 24-16.9oz btl  33004 Roaring Lion Zero 24-16.9oz btl  33005 Roaring Lion Zero 24-12oz can  33006 Bluephoria 1gal BIB  33007 Lynx Energy 2.5gal BIB  33008 Oranj 1gal BIB  33009 Roaring Lion 24-16oz can  33010 Roaring Lion Sugar Free 24-16oz can  33011 Juggernaut 2.5gal BIB  33012 Bluephoria 2.5gal BIB  33013 Oranj 2.5gal BIB  33015 Roaring Lion Au Natural 24-16.9oz btl

MinneMixer  Product No. Product Unit Quantity  30430 Party Pack (2 bottles, each flavor)  30431E Grenadine 1 liter  30432E Lime Juice 1 liter  30433E Margarita 1 liter  30436E Pina Colada 1 liter  30439E Strawberry 1 liter  30440E Sweet & Sour 1 liter  30435E Peach 1 liter  30437E Red Raspberry 1 liter  30441E Mango 1 liter Product Delivery Request

Island Oasis Frozen  Product No. Product Unit Quantity  30029 Banana 12qt case  30030 Ice Cream 12qt case  30031 Iced Cappuccino 12qt case  30032 Wildberry 12qt case  30033 Margarita 12qt case  30035 Peach 12qt case  30036 Pina Colada 12qt case  30037 Raspberry 12qt case  30038 Bloody Mary 12qt case  30039 Strawberry 12qt case  30040 Sweet & Sour 12qt case  30041 Mango 12qt case  30042 Non-Fat Yogurt 12qt case  30043 Lemonade 12qt case  30044 Guava 12qt case  30045 Hurricane 12qt case  30046 Papaya 12qt case  30047 Passion Fruit 12qt case  30050 Mojito 12qt case  30058 Cherry 12qt case  30082 Bahama Mama 12qt case

Other Specialty Mixes  Product No. Product Unit Quantity  31001 Margarita Ready to Use 12ltr case V-Fusion  30350 Watermelon Raspberry 12qt case  30351 Peach Mango 12qt case  30352 Strawberry Banana 12qt case Island Oasis Shelf Stable  31029 Banana 12ltr case  31036 Pina Colada 12ltr case  31039 Strawberry Banana 12ltr case  31041 Mango 12ltr case Barista Fria Shelf Stable  30330 Caffe Latte 12ltr case  30331 Mocha 12ltr case  30332 Caramel Latte 12ltr case Misc.  30142 Horchata 3gal BIB  30217 Pomegranate Berry 12-32oz  30218 Minute Maid Pure-Pak 12-32oz Product Delivery Request

Juices  Product No. Product Unit Quantity Minnesoda Chill Frozen  30051 Raspberry Lemonade 3-1gal case  30305 100% Orange Juice 3-1gal case  30307 100% Apple Juice 3-1gal case  30308 Reduced Color Cranberry 3-1gal case  30309 Lemonade 3-1gal case  30312 Cranberry Cocktail 3-1gal case Citrus Sun  30016 Orange Juice 3gal BIB  30017 Cranberry Juice 3gal BIB  30018 Texas Bloody Mary 5gal BIB  30019 Apple Juice 3gal BIB  30020 Fruit Punch 3gal BIB  30022 Sweet & Sour 3gal BIB  30048 100% Prune Juice 3gal BIB  31017 Reduced Color Cranberry 3gal BIB  30179 100% Grape Juice 3gal BIB Red Parrot  30090 Bloody Mary, Mild 3gal BIB  30098 Super Parrot Energy Drink 4ltr QCD  30157 Grapefruit 4ltr QCD  30187 Bloody Mary, Mild 12lt case  30092 Pineapple 3gal BIB  30093 Clamato Bloody Mary 3gal BIB  30095 100% Orange Juice 3gal BIB  30097 Krazy Parrot 3gal BIB  30185 Bloody Mary, Mild 1gal BIB  31092 Pineapple 4ltr QCD  31093 Clamato Bloody Mary 4ltr QCD  31095 100% Orange Juice 4ltr QCD QCD=Quick Connect/Disconnect Product Delivery Request

Sunburst Chemicals  Product No. Product Unit Quantity BRUTE Extra Strength Multipurpose 10004BRU 4-1gal/case  Cleaner (Liquid). TIME SAVER Biological Floor Cleaner 1030X2 2-1gal/case  (Liquid) SOLID GREEN 28 Solid Biological Floor 1040S1 1-3.25lb/case  Cleaner (Solid) NEUTRAL CLEANER All-Purpose Cleaner 1121S1 1-4.5lb/case  (Solid) SOLID GREEN 78 Glass & Neutral Cleaner 1122S1 1-2.5lb/case  (Solid)  112606 SO EASY Stainless Steel Polish (Liquid). 6qt case ALL WEATHER Aerosol Glass Cleaner 112912 12 cans  (Liquid)  118012 QUICKWAY Oven/Hood Cleaner (Liquid) 12 cans  118206 LIQUID CRÈME Cleanser (Liquid) 6-32oz/case  118306 NON-ACID RESTROOM CLEANER (Liquid) 6-32oz/case STEELBRITE Stainless Steel Cleaner/Polish 118512 12 cans/case  (Liquid)  118605 TIFFANY PINK Toilet Bowl Cleaner (Liquid) 6-32oz/case BIOZYME Grease Trap & Drain Line Treat- 1620S1 1-4.5lb/case  ment (Solid)  162512 VITAL Liquid Digestant (Liquid) 1-4.5lb/case EXTRACT Carpet Extract Compound 1910S1  (Solid) SUNDROPS 67 Foaming Hand Soap 3536708 8-1000mL/case  (Liquid) SUNDROPS 57 Lotioned Hand Soap 3539715 8-1000mL/case  (Foam) SUNDROPS 75 Instant Hand Sanitizer 3539375 8-1000mL/case  (Liquid)  4820S2 RESTORE 77 Boil Out Compound (Liquid) 2-4.5lb/case  482505 BOIL-OUT Boil Out Compound (Powder). 8-1lb/case  5000S1 BIO CLEAN Cleaner Disinfectant (Solid) 1-4.5lb/case  5120S1 SENTRY Sanitizer (Solid) 1-3lb/case SUNBURST NO-BAC Detergent/Sanitizer 520001 4-1gal  (Liquid)  54004 BOCK Cleaner/Sanitizer (Liquid) 4-1gal  55004 SUNSAN2 Chlorine Sanitizer (Liquid) 4-1gal  5875X2 QUICKSAN 10 Quat Sanitizer (Liquid) 2-1gal SUN BRITE BLEACH Chlorine Sanitizer 590005 5gal  (Liquid)  6001X2 PREEM Pot and Pan Detergent (Liquid) 2-1gal  6000S1 SCORE Cleaner (Solid) 1-4.5lb/case  60034 CRYSTAL Automatic Glass Wash (Liquid) 4-1gal  6004S1 SOLID GREEN 14 All Purpose (Solid) 1-4.5lb/case DURA SUDS Pot and Pan Detergent 6002X2 2-1gal  (Liquid) SHAMROCK Pot and Pan Detergent 6010S1 1-4lb/case  (Solid)  6015S1 BEACON Silverware Presoak (Solid) 1-4.75lb/case ULTIMA RESULT Automatic Dish Machine 6027F1 2-1gal  Detergent (Liquid) GREASE RELEASE Heavy Duty Degreaser 6030S1 1-5lb/case  (Solid) Product Delivery Request

Sunburst Chemicals (continued)  Product No. Product Unit Quantity SOLID GREEN 40 Pot & Pan Detergent 6040S1 1-4lb/case  (Solid)  6045S1 DELITE (Solid) Dishwashing Detergent 1-4lb/case HEAVY DUTY KITCHEN DEGREASER 61104 4-1gal  (Liquid) CHALLENGE Concentrated Degreaser 611801 4-1gal  (Liquid) APPLAUSE Economy Warewash Deter- 61354 4-8lb/case  gent (Solid) SOLID GREEN 99 Dish Machine Deter- 61404 4-8lb/case  gent (Solid)  61494 SOLID PERFORMANCE (Solid) 4-8lb/case ENCORE Aluminum Panwash Detergent 6160S4 4-8lb/case  (Solid) RESULT 100 Automatic Dish Wash 620201 4-1gal  (Liquid) RESULT 100 Automatic Dish Wash 620205 5gal  (Liquid)  63804 LO FOAM Glass Cleaner (Liquid) 4-1gal  65704 LIQUID SILVERWARE PRESOAK (Liquid) 4-1gal SOLID GREEN 34 Silverware Presoak 6590S1 1-5.5lb/case  (Solid) LIME REMOVER PLUS Acid Cleaner 66224 4-1gal  (Liquid) WINDOW CLEANER CONCENTRATE 663501 4-1gal  (Liquid)  681501 BURST Dish Wash Detergent (Liquid) 4-1gal  68234 Rinse Additive (Liquid) 4-1gal  6827S1 CLARITY Rinse Additive (Solid) 1-5lb/case  6832S1 SOLID GREEN 23 Rinse Aid (Solid) 1-5lb/case XP SUNSHINE Warewashing Drying 683501 4-1gal  Agent (Liquid) XP SUNSHINE Warewashing Drying 683505 5gal  Agent (Liquid) ULTIMA SPARKLE Universal Rinse Aid 6836F1 2-1gal  (Liquid)  69054 LIQUID FREEZER FLOOR CLEANER (Liquid) 4-1gal  7762F1 ULTIMA CHLORBRITE Sanitizer (Liquid) 2-1gal

National Chemicals  Product No. Product Unit Quantity  M-60004 Spul- Dishwasher Detergent 150 tablets All-Klear Rinse Indicator (Beer Line M-60005  Cleaning)  M-60006 All-Acid Post Wash (Beer Line Cleaning)  M-60007 Drum Pump 55gal  M-60008 Iodophor Test Papers 25  M-60009 Chlorine Test Papers 25  M-60010 QA Detergent Test Papers 25  M-60011 BTF Chlor-Tab Sanitizer 100 tablets  M-60012 LFD Tab Detergent 100 tablets  M-60013 Coffee Pot Cleaner 16oz btl  M-60014 Espresso Cleaner 10 tablets Product Delivery Request

Betco Chemicals  Product No. Product Unit Quantity Symplicity All Temp Dish Machine 60000 4-1gal  Detergent 115 Symplicity All Temp Dish Machine Rinse 60001 4-1gal  Additive 315 Symplicity Low Temp Dish Machine 60002 4-1gal  Sanitizer 215

Shamrock Gases  Product No. Product Unit Quantity  30001 Bulk CO2  30116 CO2, Large K Tank  30117 CO2, Small V Tank  30126 Mixed Gas, Large K Tank  30326 Mixed Gas, Small V Tank  30120 Nitrogen, Large K Tank  30121 Nitrogen, Small V Tank  30129 Helium, Large K Tank  30267 Argon, Large K Tank  30329 Helium Filler, Regular  30163 Oxygen, Large  30417 Haz-Mat Fee

Shamrock Special Events Products  Product No. Product Unit Quantity MinneSoda/ Pre-Mixed 5gal Tank  30053 Cola 5gal  30054 Diet Cola 5gal  30055 Club Soda 5gal  30056 Orange Soda 5gal  30073 Grape Soda 5gal  30074 Lemon Lime 5gal  30075 Strawberry Soda 5gal  30076 Root Beer 5gal  30077 Lemonade 5gal  30078 Quinine 5gal • Tanks are the property of the Shamrock Group • No credit given on purchased/unused MinneSoda • All tanks are to be returned immediately after event Ice Sculptures Sculptured Block (Customer Service rep  10027 to contact you regarding details) Product Delivery Request

Shamrock Special Events Products (continued)  Product No. Product Unit Quantity Ice Merchandisers & Trailers  46001 Single Door (holds 30 30lb bags)  46001 Double Door (holds 50 30lb bags  46002 Trailer (holds 110 30lb bags) • Minimum product purchases apply • Cleaned and sanitized prior to delivery • Delivery and pickup included Portable Bar  30419 Portable bar • Minimum product purchases apply • Cleaned and sanitized prior to delivery • Delivery and pickup included Specialty Drink Blenders  30303 Taylor 430 Mixer  42299 Island Oasis SB-3X Shaver Blender • Minimum product purchases apply • Cleaned and sanitized prior to delivery • Delivery and pickup included

Ace Ice Products  Product No. Product Unit Quantity Packaged Ice  10013 Mini Cubes 5lb  10004 Mini Cubes 18lb  10009 Mini Cubes 30lb  10002 Ice Block, 6in x 6in x 9.5in 10lb  10010 Crushed Ice 35lb Blocks  10008 Unsculptured Block, 20in x 40in x 10in 300lb

Fruit Fly Bar Pro Strips  Product No. Product Unit Quantity  FFAWAY Fruit Fly Bar Pro Strips 1 strip  FFAWAY Fruit Fly Bar Pro Strips 10 strips/case

Other Products/Services  Product No. Product Unit Quantity     Product Delivery Request

Customer Information Shamrock Group customer number: Name: Company: E-Mail address: Phone: Cell Phone: Address: City: State: Zip:

Shamrock Group Contact Information MANUFACTURING / DELIVERIES SERVICE / ADMINISTRATION 2900 Fifth Ave. S. 2450 Minnehaha Ave. Minneapolis, MN 55408 Minneapolis, MN 55404 Hours: 8am - 4:30pm, Daily Hours: 8am - 4:30pm, Mon-Fri

Phone: 612.824.0745 or 800.862.9273

Email: [email protected]