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Product Delivery Request 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 Diet Coke 5gal 30006 Cherry Coke 2.5gal 30007 Diet Sprite Zero 2.5gal 30009 Mr. Pibb 2.5gal 30010 Sprite 5gal 30014 Mello Yello 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 Minute Maid 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 SPARKLE 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-Tab 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.
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