Monthly Supply Reorder Form

Sales Rep First Name:

Sales Rep Last Name:

Select the Items You Wish to Reorder

60 Micron Pads (pack of 5)
30 Micron Pads (pack of 5)
9 Micron Pads (pack of 5)
Polish Pads Pads (pack of 5)
Paper Towel (pack of 3)
Green Polishing Compound
Sharpening Return Sleeves
Sharpening Stone


Small Bumpers (pack of 25)
Medium Bumpers (pack of 25)
Large Bumpers (pack of 25)


Small Washers (pack of 25)
Medium Washers (pack of 25)
Large Washers (pack of 25)

Please List Any Other Supplies