Hand Sanitiser Unit Order Form

Costcutter account number*

BDM name*

BDM e-mail*

Store name*

Store address*

Store postcode*

Store contact name*

Store contact number*

What branding would you like?*

Number of floor standing units

Unit cost based on your selection- £[calculated floorstandingUnitCost cf7-label "(floorstanding-quantity * 295)"]
Shipping cost: £[calculated floorstandingShippingCost cf7-label "(floorstanding-quantity * 35.00)"]
Total floorstanding unit cost: £[calculated floorstandingTotalCost cf7-label "(floorstanding-quantity * 295.00) + (floorstanding-quantity * 35)"]

Number of table-top units

Unit cost based on your selection- £[calculated tabletopUnitCost cf7-label "(tabletop-quantity * 195)"]
Shipping cost: £[calculated tabletopShippingCost cf7-label "(tabletop-quantity * 35.00)"]
Total table-top unit cost: £[calculated tabletopTotalCost cf7-label "(tabletop-quantity * 195.00) + (tabletop-quantity * 35)"]

Which hand sanitising solution/gel would you like?[select_custom solution-type include_blank "50.00|Eco HandSafe Lotion (alcohol free) - £50.00/unit: 2 x 5L " "75.00|Hand Sanitiser Gel with Aloe Vera(70% alcohol) - £75/unit: 2 x 5L"]

How many units of hand sanitising solution/gel would you like?*

Each unit contains 2 x 5L canisters.

Unit cost based on your selection: £[calculated solutionCost cf7-label "(solution-type * solution-quantity)"]
Shipping cost: £[calculated solutionShippingCost cf7-label "(solution-quantity * 11.00)"]
Total solution/gel cost: £[calculated solutionTotalCost cf7-label "(solution-type * solution-quantity) + (solution-quantity * 11.00)"]

Total order cost: £[calculated orderTotalCost cf7-label "(floorstanding-quantity * 295) + (floorstanding-quantity * 35)+(tabletop-quantity * 195) + (tabletop-quantity * 35)+(solution-type * solution-quantity) + (solution-quantity * 11)"]