Resale Program 2016 - Commercial Aquatic Supplies Program... · 2018-11-21 · Cost $5.05 Clear...

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2 0 1 6 Telephone: 604-980-2812 Fax: 604-980-0196 Toll Free: 1-800-663-5905 www.commercialaquaticsupplies.com

Transcript of Resale Program 2016 - Commercial Aquatic Supplies Program... · 2018-11-21 · Cost $5.05 Clear...

Page 1: Resale Program 2016 - Commercial Aquatic Supplies Program... · 2018-11-21 · Cost $5.05 Clear Lens/ Smoke Frame (CS) Clear Lens/Blue Frame (CB) Pink Lens/Pink Frame (PP) Jr. Champ

GOGGLES & ACCESSORIES • RESALE PROGRAM

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2 0 1 6

Telephone: 604-980-2812Fax: 604-980-0196Toll Free: 1-800-663-5905

www.commercialaquaticsupplies.com

Page 2: Resale Program 2016 - Commercial Aquatic Supplies Program... · 2018-11-21 · Cost $5.05 Clear Lens/ Smoke Frame (CS) Clear Lens/Blue Frame (CB) Pink Lens/Pink Frame (PP) Jr. Champ

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RESALE PROGRAM • GOGGLES & ACCESSORIES

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Commercial Aquatic Supplies#102 - 2411 Dollarton HighwayNorth Vancouver, B.C., V7H 0A3Tel: (604) 980-2812Fax: (604) 980-0196 Toll Free: [email protected]

Calgary - Team Aquatic Supplies Phillips Park MallD7 - 6115 3rd Street SECalgary, AB, T2H 2L2Tel: (403) 319-2000Fax: (403) 319-2002Toll Free: 1-800-661-7946

[email protected]

PROSHOP RESALE PROGRAM WINTER 2016Generate Revenue for your FacilitySelling goggles to your patrons works for both of you. People who forgot their goggles are happy and the facility generates extra revenue. There is a healthy profit margin thru the Resale Program.

Fast DeliveryLots of stock on hand for fast service

Guaranteed SalesNo risk, if a style is not popular just return unused, new in package items within 90 days

Great SelectionThe best goggles from the leading brands in North America: • SPEEDO• TYR• LEADER• AQUASPHERE

Team East - Team Aquatic SuppliesA10 - 5035 North Service RoadBurlington,ON, L7L 5V2Tel:(289) 348-1905Toll Free: [email protected]

Order from one of 3 stocking locations

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GOGGLES & ACCESSORIES • RESALE PROGRAM

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SprintItem #7500615Great for youth and adults. Lens has larger fit than the Relay goggle and uses a geometric shape that provides excellent vision. Sprint has a thick foam gasket for comfort.

Retail $11.90 Cost $5.95

SPEEDO GOGGLES

Clear (104)

Vanquisher 2.0 - AntifogItem #7750128Updated version, ultra low profile design with 25% more peripheral vision. Soft silicone eye seals. 3 nose pieces to fit wide range of adult faces. Suitable for competitive and recreational swimming.

Retail $22.80 Cost $11.40

Smoke (030)

Blue (420)Clear (100)

HydrosityItem #7500633 Durable, lap loving fitness goggle with a great price! One piece soft frame for maximum comfort, and split silicone strap with quick adjust clips. Fits a wide range of faces, teen to adult. PVC and Latex Free.

Retail $17.30 Cost $8.65

Blue/Clear (420)

Clear/Clear (104)

HydrostreamItem # 7500400Another great addition to the Speedo Line of fitness goggles. Designed with comfort and expanded vision in mind. Soft PVC and latex free gasket and frame with curved lenses for maximum visibility.

Retail $22.50 Cost $11.25

Clear/Black(001)

Blue/Cobalt (052)

Clear/Graphite/Berry (804)

Smoke/Charcoal/Red (071)

Smoke (030)

Hydrospex Classic - AntifogItem #7500638Worlds best selling goggle. Comfortable, flexible one piece frame that fits adult faces.

Retail $21.60 Cost $10.80

Smoke Lens/Black Frame(030)

Blue Lens & Clear Frame

(450)

Clear Lens & Frame(104)

Hydrospex Jr. - AntifogItem #7500639

Worlds best selling youth goggle. Comfortable, flexible one piece frame that fits smaller faces.

Retail $20.60 Cost $10.30

Blue Lens & Frame (024)

Clear Lens & Frame (045)

Smoke Ice/Black Frame (986)

DISCONTINUED

DISCONTINUED

WHILE STOCKS LAST

WHILE STOCKS LAST

Kid’s HydrospexItem # 7500640Kid’s version of the best-selling Hydrospex goggle. Ideal for youg swimmers. Soft comfortable frame. Middle eye fit. Quick adjust speed clips. Latex free, UV protection and anti-fog.

Retail $17.30Cost $8.65

Women’s HydrosityItem # 7750141

Middle eye fit for a wide range of faces. Super-soft cushioned sealsminimize goggle ring marks. Quick adjustable speed fit clips. Ideal for fitness and recreational swimmers. Latex free, UV protection and anti-fog.

Retail $20.60Cost $10.30

Charcoal (010-030)

White(100-009)

Clear (104-080) Neopink Navy (670-078)

Blue(433-562)

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Sengar Jr. - AntifogItem #7500695Jr Version of Sengar, one piece frame. Great fitting low profile design, with excellent suction around the eye. Fits school aged children well.

Retail $15.20Cost $7.60

Clear Lens/Navy Blue Frame

(412)

Magenta Lens & Frame (654)

Relay Item #71199Popular junior sized goggle for competition and recreational swimmers.Soft foam gasket for comfort.

Retail $10.70 Cost $5.35

Blue Lens/Black Gasket (004)

Clear Lens/Black

Gasket (080)

SplasherItem #7500647Child sized with bright frames that appeal to younger children. Easy adjust strap tightening system with adjustable nose piece to help fit Tiny faces.

Retail $8.70 Cost $4.35

Clear Lens/Blue Frame(420)

Clear Lens/UV Green Frame (325)

Clear Lens/Pink Frame (672)

SPEEDO GOGGLES

Speedo Optic - AntifogItem #7500601Low profile optical goggle that works well for most adult and older childrens faces. Negative strength only.

Available in 12 diopters:-1.5 -2.0 -2.5 -3.0 -3.5 -4.0 -4.5 -5.0 -5.5 -6.0 -7.0 -8.0

Retail $25.95 1 - 3 Cost $16.50 4+ Cost $13.50

Womens Vanquisher - AntifogItem #750536Not just for women. Excellent competitive and training goggle, with a pearl metal finish. Sells well at retail. Comes with 3 nose pieces to fit a wide range of faces.

Retail $22.50 Cost $11.25

Blue (420) Clear (104) Pink (660)Black (001)

Magenta (654)

Jr. VanquisherItem # 7750131Junior version of top selling competitive and recreational Vanquisher goggle. Sleek, snug low - profile fit with wide panoramic lenses. Four nose pieces included for optimal fit. Cushioned silicone seals, latex free, UV protection and anti-fog.

Retail $20.60Cost $10.30

Blue (420-004)

Clear (104-080)Smoke (030-084)

SkooglesItem #7500645Fun bright colours suitable for recreational swimming or practice. Soft comfortable frame and quick adjust Speed-fit clips.

Retail $14.10Cost $7.05

Bright Pink (670-217)

Black Green (962-283)

Orange(847-114)

Cyan Pop (422-867)

DISCONTINUED

DISCONTINUED

WHILE STOCKS LAST

WHILE STOCKS LAST

Clear (104)

Tetra Item #AG1184Inexpensive adult goggle. One piece universal fit nose piece. Hypo-allergenic silicone eye seals and strap. Shatter resistant, antifog, and 100% UV protection. Sold as assorted only.

Retail $7.90Cost $3.95

Blue Lens/Blue Frame (02)

Smoke Lens/Silver Frame (01)Not mirrored

Smoke Lens/Black Frame (06)

Teal Lens/Black Frame (05)

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GOGGLES & ACCESSORIES • RESALE PROGRAM

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SailfishItem # AG1600This goggle fits a regular adult face and comes with 3 inter-changeable nose pieces. There is a dual strap for comfort. The eye seals and strap are hypo-allergenic silicone and the lens have UV and anti-fog coating.

Retail $20.00Cost $10.05

MedalItem # AG1325 Basic price point goggle.Medium sized for youth or adults. Flexible, adjustable nose piece for custom fit. Comfortable leak proof silicone eye seal. Single silicone strap with clip adjustment.

Retail $9.99Cost $5.50

LEADER GOGGLES

Clear Sparkle Purple Pink

(CPP)

AnemoneItem# AG1405Hypo allergenic silicone poly seal and strap, suitable for ages 7+. Wide strap for secure fit. Comes in 3 bright and fun colours.

Retail $11.99 Cost $7.05

Clear Blue White (BBW)

Clear Sparkle Aqua-Lime (CAL)

SandcastleItem #SA 8613Designed for small kids, ages 3-8 years. One piece design, double strap and light coloured lens make this goggle great for indoor swim lessons.

Retail $8.99 Cost $5.05

Clear Lens/Smoke

Frame (CS)

Clear Lens/Blue Frame (CB)

Pink Lens/Pink Frame (PP)

Jr. Champ llItem #AG 0870Our least expensive kids goggle with foam gasket. A basic goggle with neoprene foam seal that is soft and comfortable. Many facilities use Jr. Champ as their entry level goggle.

Retail $5.99 Cost $3.05

Clear

Smoke

Atom - AntifogItem #AG 8278Antifog; one piece design, funky colour combinations, double strap with easy adjust system make this another great goggle for small kids ages 3 - 8 years.

Retail $12.99Cost $6.80

Clear Lens/ Blue Lime Green Frame (CBG)

Smoke Lens/Blue Clear (SC)

Blue Lens/Blue Frame

(BB)

Clear Lens/Green

Frame (CLG)

Clear Lens/ Pink Lime

Green Frame (CPG)

Clear Lens/ Violet Pink

Frame (CVP)

Clear Lens/Pink & Green

Frame (CPL)

Clear (AG1600)

Blue Mirror-Metallic Blue (AG1600)

Smoke Mirror-Silver (AG1600)

Blue Mirror Black

(AG1600)

StingrayItem # AG1610The Stingray fits a regular adult face and has a one piece universal fit nose bridge design. There is a dual strap for comfort. The eye seals and strap are hypo-allergenic silicone and the lense have UV and anti-fog coating.

Retail $23.10Cost $11.55

Clear Silver (CV)

Blue (BB)

Smoke Black (SK)

Clear Pink (CP)Blue Lens/

YellowFrame (CBY)

WatercolorsItem #AG2306Inexpensive childrens goggle. One piece universal fit nose piece. Hypo-allergenic silicone eye seals and strap. Shatter resistant, antifog, and 100% UV protection. Sold as assorted only.

Retail $7.90Cost $3.95

Clear Lens/Multi Print Frame (04)

Blue Lens/Blue Frame (02)

Pink Lens/Multi Print Frame (03)

Clear Lens/Checker Frame (01)

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RESALE PROGRAM • GOGGLES & ACCESSORIES

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Seal Kids Mask - AntifogTotal eye protection designed especially for kids, youth and adults with small faces. Like the Seal Mask, curved lens offers up to 180 degree visibility. Flexible frame, watertight fit and easy adjust strap buckles make this one of the most comfortable childrens goggle on the market. Made of Softeril.

Retail $35.99 Cost $20.00

Kaiman - AntifogThe Kaiman Goggle is a cross-over model trying to retain the wide field of view, and comfortable facial skirt on a smaller more goggle like frame. Designed to appeal to competitive swimmers, and to provide almost the same features at a lower price point. The regular Kaiman is like a small Seal mask, and the small Kaiman is more like a goggle but keeping the larger curved lens and larger gasket.

Retail $35.99 Cost $18.00

Smoke Lens, Black & Green

Seal Mask - AntifogThe Seal Mask is the original large format wrap around swim goggle, giving a 180 degree field of view, and is very comfortable to wear because of the large surface area of soft silicone on the facial skirt. It is latex free, offers 100% UV protection, anti-fog coating on the inside, and anti-scratch coating on the outside. The lever buckles offer easy strap adjustment.

Retail $46.99Cost $26.50

Smoke Lens, Translucent Blue & Gray

Clear Lens, Black & Gray

Clear Lens, White & Red

LEADER GOGGLES

LimeBlue

AquaYellow

RedAqua

VioletLime

TYR GOGGLES

Qualifier - AntifogItem #LGQUALSized for children, this goggle offers really good value. Adjustable nose piece allows a customized fit. Silicone gasket, antifog and split strap.

Retail $11.50 Cost $6.50

Blue Lens/Clear Frame(420)

Swimple - AntifogItem #LGSWSwimple has one of the easiest strap adjustment systems available which is simple for kids to master! Less fidgeting during swim lessons! One piece frame design that is made of soft silicone and molds to face easily.

Retail $14.99 Cost $8.10

Pink Lens/Clear Frame(660)Rose Lens/Pink

Frame(660)

Clear Lens/Blue Frame (101) Blue Lens/Clear Frame (420)

Clear Lens/Blue Frame(105)

Medalist Item # AG0521Value priced adult narrow goggle. Non adjustable nose piece only.Assorted colours.

Retail $7.99Cost $3.95

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GOGGLES & ACCESSORIES • RESALE PROGRAM

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TYR GOGGLES

Big SwimpleItem # LGBSWSame unibody design for various face shapes provides a comfortable,watertight seal - but in a bigger size for older kids and adults. Like the entire swimple family of goggles; this goggle has a simpleand secure release button that allows quick and easy strap adjustment.

Retail $20.80 Cost $11.25

Swimple Metalized - Antifog Item # LGSWMSmall Unibody frame is designed especially for children. Easy to fit, pliable silicone frame requires no adjustment. Split headstrap provides a comfortable and secure fit. Optical grade, polycarbonate lenses are UV protected with a light metalized finish. Available in 5 ‘delicious’ colours.

Retail $17.99 Cost $9.70

TYR is proud to state that they are in compliance with the consumer product safety improvement act of 2008 for lead content and phthalates. All of the product currently in the program have been tested and approved in accordance with the consumer protection safety commission’s guidelines. Look for this logo.

Electric Lime (339)

Berry Fizz (479)Manic Mango

(841)

Pink Lemonade (683)

Youth Flexframe - AntifogItem #LGYFLXThe Flexframe's small, uni-body frame is designed especially for children and smaller adult faces. This goggle also features a easy-to-fit, pliable silicone frame that requires no adjustment, a split head strap for secure fit includes easy-adjust side clips and safe, shatter resistant lenses that are anti-fog and UV protected.

Retail $14.99 Cost $8.10

Clear Lens/Blue Multi Frame (101)

LavendarLens/Clear Frame

(531)

Blue Lens/Clear Frame (420)

Technoflex 4.0 Jr. - AntifogItem #LGX4YUpdated one piece frame design, using an improved manufacturing process with long term durability in mind. The Technoflex 4.0 gasket is still soft and offers an excellent watertight seal, but this goggle also incorporates additional stiffer material around the nose bridge which prevents stretching. The antifog lenses are shatterproof and have UV protection. Fits youth/school aged children well, along with smaller adult faces.

Retail $18.99Cost $10.80

Clear Lens/Clear Frame

(101)

Blue Lens/Yellow Frame (465)

Smoke Lens/Green Frame (085)

Blue Lens/Pink Frame (670)

Technoflex 4.0 - AntifogItem #LGX4As in the Jr. 4.0 version, a new and improved manufacturing process is used to aid in long term durability of the goggle. This adult sized goggle is comfortable as it has soft silicone gaskets and a split silicone head strap. The antifog lenses are shatter-proof and have UV protection.

Retail $19.99 Cost $11.25

Blue (420)

Smoke (041)

Clear (101)

Blue (420)

BerryFiz (479) Clear (101)

Smoke (041)

Femme Petite T72Item # LGFPThese goggles are recommended for any recreational swimmer. It’s compact design is perfect for smaller adult and youth faces. Features include adjustable, polycarbonate lenses, easy adjust side clips, and UV/anti-fog protection.

Retail $19.20Cost $9.60

Blue (420)

Clear (101) Purple (510)

Pink (660)

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RESALE PROGRAM • GOGGLES & ACCESSORIES

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MissleItem #80800A racing goggle for competitive swimmers with a low profile lens and 4 interchangeable nose bridges for a good fit. Soft silicone eye seals provide comfort. UV protection, anti-fog coating, and shatter resistant lens are standard. Available in Clear or tinted lens with various colours of straps and eye seals.

Retail $24.20Cost $12.10

Voyager Sr.Item # 80812This goggle is designed for adults and features a one piece silicone flexi-frame and a flat lens for minimal distortion. These goggles come with a quick fit strap system, Uv protection, anti-fog coating, and shatter resistant lens. Available in clear or tinted lens with assorted straps and frames.

Retail $23.10Cost $11.55

Voyager Jr.Item # 80814These are all round children’s goggles, similar to the Voayger above, just smaller. Available in clear or tinted lens with assorted straps and frames.

Retail $22.50Cost $11.25

StingerItem # 80801A value goggle, suitable for almost everyone. These goggles feature silicone eye seals, dual headstraps, and easy adjust side clips. UV protection, shatter resistant lens, and anti-fog coating are still included. Available in clear or smoke lens with assorted colour straps and frames.

Retail $10.70Cost $5.35

DolphinItem # 808141A children’s goggle with a flexible one piece frame and the quick fit strap system. UV protection, shatter resistant protection, and anti-fog coating. Available with clear or tinted lens in an assortment of seal and strap colours.

Retail $16.60Cost $8.30

Vorgee Miss Glamour Silicone Caps Item #808160Sold as an assorted mix of prints.

Retail $12.90Cost $6.45

Vorgee Jr. Silicone Character CapsItem # 808026Sold as an assorted mix of prints.

Retail $10.70Cost $5.35

Smoke Lense

Clear Lense

Clear Lense

Smoke Lense

Clear Lense

Smoke Lense

Clear Lense

Smoke Lense

Clear Lense

Smoke Lense

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GOGGLES & ACCESSORIES • RESALE PROGRAM

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100% Silicone CapsItem # 25 09 04Solid colours: Black, Red, White, Silver, Teal, Royal blue, Navy blue, Pink, Violet

Retail: $9.66Cost: $4.85

Latex Pearlescent CapsItem # 25 09 02Solid Colours: Red, Pale Green, Turquoise ,Pale Blue, Silver, Yellow, Pink, Bronze, Purple, Ivory, Green, Gold

Retail: $3.99Cost: $1.99

Lycra Caps Item # 25 09 30Solid Colours: White, Black, Royal, Navy

Retail: $5.99Cost: $3.00

TYR Jr. Sized Silicone CapsItem # LCS HappyItem # LCS Orca

Retail: $12.00Cost: $6.50

100% Silicone CapsItem # 25 09 03Multi colours: Canada Flag, Multi Blue, Multi Fushia

Retail: $10.10Cost: $5.05

Latex CapsItem # 25 09 01Solid Colours: Red, Yellow, Royal, Lavendar, Mint Green, Coral, Navy, Orange, Pale Blue, Green, White, Purple, Black

Retail: $3.65Cost: $1.82

Jr. Latex CapsItem # 751136Solid Colours: White, Purple, Royal

Retail: $6.40Cost: $3.20

Aquablock Flanged Ear PlugsItem # 25 09 47

Retail: $5.00Cost: $2.75

Pillowsoft Silicone Ear PlugsItem # 25 09 46

Retail: $4.50Cost: $2.50

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RESALE PROGRAM • GOGGLES & ACCESSORIES

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Synchro Nose ClipItem # 25 09 11

Retail: $4.35Cost: $2.18

Silicone Nose ClipItem # 25 09 35

Retail: $4.25Cost: $2.30

Gabby’s Solid Pull on Swim DiaperItem # 25 10 06 Small 6 - 14 lbsItem # 25 10 07 Medium 11 - 25 lbsItem # 25 10 08 Large 25 - 35 lbsItem # 25 10 09 Xlarge 35 - 45 lbsSolid colours red, royal, green, purple

Retail: $14.80Cost: $7.40

Gabby’s Print Velcro Swim DiaperItem # 25 10 18 Small 6 - 14 lbsItem # 25 10 19 Medium 11 - 25 lbsItem # 25 10 20 Large 25 - 35 lbsItem # 25 10 21 Xlarge 35 - 45 lbsAssorted prints

Retail: $22.80Cost: $11.40

Nose Clip with StrapItem # 25 09 10

Retail: $2.80Cost: $2.00

Speedo Sports TowelItem # 753528

Retail: $22.00Cost: $12.00

Tyr Brand Thermal SuitsItem # TSLD7 Sizes available:2, 3, 3x, 4, 5, 6, 6XSpecify girl or boy colours

Retail: $44.99Cost: $25.50

Gabby’s Solid Velcro Swim DiaperItem # 25 10 14 Small 6 - 14 lbsItem # 25 10 15 Medium 11 - 25 lbsItem # 25 10 16 Large 25 - 35 lbsItem # 25 10 17 Xlarge 35 - 45 lbsSolid colours red, royal, green, purple

Retail: $20.40Cost: $10.20

Gabby’s Print Pull-up Swim DiaperItem # 25 10 22 Small 6 - 14 lbsItem # 25 10 23 Medium 11 - 25 lbsItem # 25 10 24 Large 25 - 35 lbsItem # 25 10 25 Xlarge 35 - 45 lbsAssorted Prints

Retail: $19.30Cost: $9.65

Gabby’s Water Proof Pool PantsItem # 25 10 10 Small 6 - 14 lbsItem # 25 10 11 Medium 11 - 25 lbsItem # 25 10 12 Large 25 - 35 lbsItem # 25 10 13 Xlarge 35 - 45 lbsSolid White Pants

Retail: $11.40Cost: $5.70

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GOGGLES & ACCESSORIES • RESALE PROGRAM

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Splash BagsRetail: $11.00Cost: $5.50

Kaboodle BagsRetail: $24.99Cost: $15.00

For Lifeguard Uniforms, or Team Supplies such as Bathing Suits, Goggles or Training Aids please visit

Team Aquatic Supplies on-line at www.team-aquatic.com.

Anti Chlorine Shampoo &Protein Enriched ConditionerItem # 25 09 18 2 oz ShampooRetail: $2.70Cost: $1.45Item # 25 09 17 8 oz ShampooRetail: $7.50Cost: $3.75Item # 25 09 19 2 oz ConditionerRetail: $2.40Cost: $1.30Item # 25 09 09 8 oz ConditionerRetail: $6.90Cost: $3.45

SwimSpray Ideal for Staff and Patrons!SwimSpray - The only patented product scientifically proven to neutralize chlorine on your skin and hair effectively eliminating itchy dry skin, and damaged brittle hair. SwimSpray is not a shampoo or a body wash--it is a chlorine neutralizer. SwimSpray is a pure natural product there are no added fragrances or colors. SwimSpray works at the molecular level, neutralizing the bond that chlorine has with proteins in hair and skin-boosting the effects of your sham-poo and body wash.

Orders of 12 or more come with a convenient 12 bottle counter display.

Contact us for your staff sampler.

Retail: $14.99Cost: $7.50 Great Margin builder!

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RESALE PROGRAM • GOGGLES & ACCESSORIES

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INVOICING ADDRESS SHIPPING ADDRESS

Name: _________________________________________ Name: _________________________________________

Address: ________________________________________ Address: ________________________________________

City: ___________________________________________ City: ___________________________________________

Province: _______________________________________ Province: ______________ Postal Code: ____________

Postal Code: ____________________________________ Telephone: _____________________________________

Telephone: _____________________________________ Attention: _______________________________________

PST Number if applicable _____________________________________________________________________

DESCRIPTION QUANTITY PRICE TOTAL

METHOD OF PAYMENTPurchase Order #: ______________________________

Visa / M/C #____________________________________

Exp. Date: ______________________________________

Name: _________________________________________

________________________________________________

FAX OR E-MAIL YOUR ORDER TO ANY OF FOUR STOCKING LOCATIONS: NORTH VANCOUVER CALGARY BURLINGTON SCARBOROUGH (OMNI) COMMERCIAL AQUATIC SUPPLIES TEAM AQUATIC SUPPLIES TEAM AQUATIC SUPPLIES TEAM AQUATIC SUPPLIES TEL: 1-800-663-5905 TEL: 1-800-661-7946 TEL: 1-888-259-7946 TEL: 1-800-461-3309 FAX: (604)980-0196 FAX: (403) 319-2002 FAX: (905) 632-0902 FAX: 416-431-3338 [email protected] [email protected] [email protected] [email protected]

MAILING ADDRESSCommercial Aquatic Supplies: Maplewood Landing, #102-2411 Dollarton Highway, North Vancouver, B.C., Canada, V7H 0A3

ORDER FORM - Our most convenient way to order goggles! E-mail or fax your order 24/7 to any of three locations.

PHOTOCOPY

FOR USE.

Please specify how you would like order shipped: Mail:

Courier: Specify _______________________________

Other: Specify _______________________________

Prepaid & charge: Collect: