John and Heather Forms

Ordering Process
What would you like to order?*

CoatingsFlakesAbrasivesOnFloor Equipment and SuppliesHusqvarna Equipment and Supplies
Type of Flakes

AGF BlendsManufacturer Signature Blends or unicolorCustom Flake Color
FREE SHIPPING ON ORDERS WITH 60 GALLONS OR MORE

AGF Other Coating

	1 - 2 Gallon Kit Fox Fix Repair	1 -32oz Poly Tint Gray	1 - 32oz Poly Tint White Special Order	1 - 32oz Poly Tint Black Special Order
Quantity

Stock Marble 1/4"

	How many pounds of flakes?
Weathered Gray
Carbon

Stock Hybrid

Type in Your Custom Color ***Additional fees may be assessed to customer colors*
How Many Pounds of Custom Color Flake*
Manufacturer Signature Blends or unicolor*

Slide in Abrasives

	1 set of 9 Hard Matrix for Soft Concrete (Gold)	1 set of 9 Medium Matrix for Medium Concrete (Silver)	1 set of 9 Soft Matrix for Hard Concrete (Blue)	1 Set of 9 PCD’s for Coating Removal	1 set of 9 Cap Cutters
Quantity

Replacement Parts

	1 set of 12 Replacement Grommets	1 set of 3 Buffer Pad
Quantity

On Floor Equipment

	20” Pro Grinder	16” Pro Grinder	20” Standard Grinder	16” Standard Grinder	9” Edger	18” Edger
Quantity

On Floor Supplies

	1 set of 3 OnFloor Plates for 20” Grinder	1 set of 3 OnFloor Plates for 16” Grinder	1 set of 3 OnFloor Replacement Belts HD 20” Pro	1 set of 3 OnFloor Replacement Belts HD 16” Pro	1 set of 3 OnFloor Replacement Belts 20” Standard	1 set of 3 OnFloor Replacement Belts 16” Standard
Quantity

On Floor Accessories

	20” Machine Weight	16” Machine Weight	Dust Skirt 20” Grinder	Dust Skirt 16” Grinder	1 Set of 2 Center Bearing	1 set of 6 Small Bearings
Quantity

On Floor Accessories (continued)

	25 Ft Vacuum Hose	2” Hose Cuff	Elbow Vacuum Connector	1 set of 12 Grommets for OF Plates	1 set of 12 Replacement Pins
Quantity

Equipment

	DE-110 Vacuum	DE-120 Vacuum	F36 - 220V w/ Distributor Box	F26 110V
Quantity

Accessories

	1 Case of 4 Longopack	Replacement Squeegee Blades for Floor Sweeper tool	Floor Sweeper Tool
Quantity

Lets Confirm Your Order
Name*
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your shipping address?*
Is schedule of deliver required*
Contact Phone Number
Is a lift-gate required?*
Contact Phone Number
Last 4 of CC
Any additional comments / special orders
ANY ADDITIONAL SPECIFICATIONS ON DELIVERY WILL RESULT IN ADDTIONAL SHIPPING/HANDLING FEES.

ALL ORDERS ARE FINAL ANY CHANGES TO ORDERS WILL RESULT IN RESTOCKING FEES AND ADDITIONAL CHARGES PER ORDER.
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