Boundary Friction Control - Order Form

Oil Products for Today's Technology

Order Form

This is not an e-commerce website.

Once you find the products you wish to purchase, either fill in the

form on-screen and print it off or print off our order form then fill it out.

Then, call us to place your order or send it to us.

We take VISA, MasterCard, & Discover, money orders and checks (2 week delay)

Please feel free to call us if you prefer to ask us for advice before placing an order.

Ship To

Name:

UPS Delivery Address:

Mailing Address (if different):

City:

State:

Zip:

Phone Number:

E-Mail Address:

Method Of Payment

Check

Check Number:

Money Order:

Money Order Number:

Credit Card

Visa:

MasterCard:

Discover:

Card Number:

---

Expiration Date:

Month - Year -

Cardholder's Name (as it appears on card):

Your Order:

Qty.	Item #	Item Description	Price Each	Total Price
Oil Fortifier
	BF-001	55 Gallon Barrel	$3,530.00
	BF-002	30 Gallon Barrel	$2,470.00
	BF-003	5 Gallon Pail	$499.00
	BF-004	1 Gallon	$132.00
	BF-005	1/2 Gallon	$69.50
	BF-006	1 Quart	$38.75
Extreme Pressure Grease
	GR 001	16 Ounce Tube (each)	$5.00
	GR 002	1 Carton (10 tubes)	$45.95
	GR 003	5 Gallon Pail	$140.00
	GR 004	120 lb Keg	$357.50
	GR 005	400 lb. 55 Gallon Drum	$,1071.00

Spray Lubricant
	SL 001	1 Gallon	$36.50
	SL 002	5 Gallon Pail	$139.95
	SL 003	Barrel - 55 Gallon	$1,281.00
	P 006	16 oz. Re-chg. Spray Cans	$16.95
ProBound 1250 Diesel Fuel Conditioner
	DF 004	1 Gallon	$70.25
	DF 003	5 Gallon Pail	$335.00
	DF 002	30 Gallon Drum	$1,876.00
	DF 001	55 Gallon Drum	$3,110.00
PRI-G (Gas Stabilizer)
	PRI-G16	16 Ounce Bottle	$18.00
		Total
		2.9% Sales Tax (CO Residents Only)
		Sub Total
		Call For Shipping Cost
		Sub Total
		2% Handling/Insurance
		Total Due

All done? Thank you for your order!

Ron Bunch

Boundary Friction Control

P.O. Box 392, Burlington, CO 80807

Phone: (719) 346-4663 - 9AM-6PM Fax: (719) 346-4663 - Hours: 9AM-5PM (MT) Mon.-Fri.