BIOCORP ORDER FORM *Urgency of Order : Please Select Critical Urgent Normal Order *Contact Number : *Name : *Company : *Telephone : (with area code) Address : Province : *Country : Please Select Products and State Quantities QUANTITY : No. of Cases Bioheat Cooking Gel 750ml   2 Litre   5 Litre 750 ml . 12 packs per case @ 9kg 2 Litre . 12 packs per case @ 22.63kg 5 Litre . 4 packs per case @ 19kg   Bioheat Lamp Oil   Standard 500ml   1 Litre 500 ml . 12 packs per case @ 5.4kg 1 Litre . 12 packs per case @ 9kg   With Insect Repellent 500ml   1 Litre 500 ml . 12 packs per case @ 5.4kg 1 Litre . 12 packs per case @ 9kg     QUANTITY : No. of Cases Deluxe Stove (2 plate) 4 units per case Standard Stove (2 plate) 4 units per case Deluxe Stove (1 plate) 12 units per case Oil Lamp (single) 12 units per case Comments or instructions :

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