Fuel Up® Breakfast Grant Program 2014-15 Order Form SHIPPING INFORMATION ORDER DATE: SHIP TO: District Name: School Name: Address 1: Address 2: City/State/Zip: Contact Name: Contact Email: Contact Phone: ITEM MODEL DESCRIPTION UNIT QTY TOTAL OPTIONS/NOTES NO. PRICE PRICE ATLANTA FIXTURE* CB15TSFAF 1 Gallon Stainless $1700 Steel Jar, 2 handles, vinyl lid and center cap clamps, easy pour spigot, instruction video. 26x15x17 INTERIOR SYSTEMS, INC. PRODUCTS* FUTP DMI Kiosk: $1247 Keeping milk cold is a Moveable with KIOSK priority so a well is lockable casters. provided as part of the Cashier area and cart. handle for moving included. Cart holds (6) F60-BFB 5’3” W x 6’ H x 2’2’ D bags and (1) F60-YC bag underneath. These are not included in price and are available from TCB Manufacturing. Quick Service Table FUTP-QSL $1370 Moveable laminated base unit on lockable casters. 6’W x 2’10” H x 30” D
Fuel Up® Breakfast Grant Program 2014-15 Order Form SHIPPING INFORMATION ORDER DATE: SHIP TO: District Name: School Name: Address 1: Address 2: City/State/Zip: Contact Name: Contact Email: Contact Phone: ITEM MODEL NO. DESCRIPTION UNIT PRICE QTY TOTAL PRICE OPTIONS/NOTES ATLANTA FIXTURE* CB15TSFAF 1 Gallon Stainless Steel Jar, 2 handles, vinyl lid and center cap clamps, easy pour spigot, instruction video. 26x15x17 $1700 INTERIOR SYSTEMS, INC. PRODUCTS* FUTP DMI KIOSK Kiosk: Moveable with lockable casters. Cashier area and handle for moving included. 5’3” W x 6’ H x 2’2’ D $1247 Keeping milk cold is a priority so a well is provided as part of the cart. Cart holds (6) F60-BFB bags and (1) F60-YC bag underneath. These are not included in price and are available from TCB Manufacturing. FUTP-QSL Quick Service Table Moveable laminated base unit on lockable casters. 6’W x 2’10” H x 30” D $1370