Order Form Hand Sanitizer Effective 10-14-2024.pdf
PDF 484 KB Posted
- Attached to
- Hand Sanitizer, Wipes, Dispensers and Stands
- Contract number
- 505ENT-U22-SANITIZER-01
- Issued by
- Wisconsin
About this file
This is a state contract order form for the State Use Program Hand Sanitizer, Wipes, Dispensers and Stands Contract (505ENT-U22-SANITIZER-01), effective October 14, 2024. The contract is serviced by Opportunities Incorporated Training and Fulfillment Center, located at 100 E. Blackhawk Drive, Fort Atkinson, Wisconsin 53538. The document serves as a standardized ordering mechanism for state agencies and authorized entities to procure sanitization supplies through this established contract vehicle.
The contract covers five primary product categories: foam hand sanitizer in 18-ounce bottles (70% alcohol) at $18.38 per 2-bottle package, 1-gallon sanitizer at $39.99 each, sanitizing wipes in 75-count canisters at $39.29 per 3-canister package, touchless electronic dispensers at $49.30 each, and universal floor stand kits at $119.02 each. Orders are processed through completion of this form and submission via email to stateusecontracts@oppinc.com, with customer service available at 920.563.2437 extension 4212. The contract specifications and detailed pricing information are maintained on VendorNet, and shipping is handled via best carrier/best way terms with billing address defaulting to the delivery address unless otherwise specified.
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Text version
Order Date:
Purchase Order #:
Order Form Effective 10/14/2024
State Use Program Hand Sanitizer, Wipes, Dispensers and Stands Contract
(505ENT-U22-SANITIZER-01)
*Contract specifications and pricing are located on VendorNet.
Credit Card Information: Billing Address:
Contact Phone Number: Same as delivery address Name for P-card Payment:
If you have any questions about your order, please contact Customer Service at Tel: 920.563.2437 Ext. 4212 Email: stateusecontracts@oppinc.com
Product Description: Catalog #: Pkg: Unit Price: Quantity: Extended Total:
Sanitizer,Foam,18oz,70% Alcohol,2 btls/pkg Sanitizer18oz 2/pk $18.38 Sanitizer, 1 gallon SanitizerGal 1/pk $39.99
Sanitizing Wipes, 75 ct canister Wipes75ct 3can/pk $ 39.29 Touchless Electronic Dispenser Dispenser 1 ea $49.30
Universal Floor Stand Kit Floorstand 1 ea $119.02 Order Total:
Email completed order form to:
stateusecontracts@oppinc.com
Shipping Instructions:
Supplier Terms & Conditions
Supplier Information:
Supplier Name: Opportunities Incorporated
Address: 100 E. Blackhawk Dr Fort Atkinson, WI 53538
Buyer Information:
First/Last Name:
Email:
Phone:
Delivery Information:
Business Unit:
Attn:
Division/Bureau:
Room/Floor:
Address:
City:
State/Zip Code:
Ship Via: Best Carrier/Best way
HAND SANITIZER, WIPES, DISPENSERS AND STANDS
Training and Fulfillment Center.
mailto:stateusecontracts@oppinc.com mailto:stateusecontracts@oppinc.com https://vendornet.wi.gov/Contract.aspx?Id=e43e62f8-d898-ec11-813a-0050568c7f0f
State Use Program Battery Contract
| Order Date: |
| Purchase Order: |
| FirstLast Name: |
| Email: |
| Phone: |
| Business Unit: |
| Attn: |
| DivisionBureau: |
| RoomFloor: |
| Address: |
| City: |
| StateZip Code: |
| Contact Phone Number: |
| Name for Pcard Payment: |
| Order Total: 0 |
| Unit Price 119: |
| 02: 119.02 |
| Quantity11902: 0 |
| Extended Total11902: 0 |
| Unit Price 18: |
| 38: 18.38 |
| Quantity1838: 0 |
| Extended Total1838: 0 |
| Unit Price 39: |
| 29: 39.29 |
| 99: 39.99 |
| Unit Price 49: |
| 30: 49.30 |
| Quantity3999: 0 |
| Quantity3929: 0 |
| Quantity4930: 0 |
| Extended Total3999: 0 |
| Extended Total3929: 0 |
| Extended Total4930: 0 |
File details come from the government source that posted it. Updated .