Order Form

  Quantity

   Description

   SKU #

  Price

           Total

  White Aerator 2485/1 $10  
  Black Aerator 2485 $10  
  Gold Aerator 2485G $10  
  White Shower 2760/2 $10  
  Black Shower 2760 $10  
  White Strainer 2200W $3  
  Black Strainer 2200B $3  
  Chrome Strainer 2200C $3  

 

Chrome Strainer Small   2200CS   $3

 

  Purifier  2650  $35.00  
  Purifier Replacement Cartridge  2800  $10.00  
  Handheld Shower    $35.00  
(California residents add 8.00% sales tax)  

                                                                             Shipping and Handling

 

                                                  Total 



For shipping add : in USA $5.50-Canada $7.00

Master Card or Visa #__________________________________ EXP.Date________

Signature:_____________________________

Make check payable to: Siroflex Products

Mail to: Siroflex Products, 8974 Felipe Avenue Montclair, CA 91763-1403

Name______________________________

Address____________________________

City___________________ State ____Zip________

E-mail:________________________

Phone:________________________

Siroflex Products will NOT sell, trade or rent to third parties your personal information whole or part.

Siroflex Products
8974 Felipe Avenue
Montclair, CA 91763-1403

Telephone: 818-892-8382
E-Mail: siroflex@msn.com  
Copyright 2001
Last modified: June 2007