The CW™ Order Form Thank you for your order. Please fill out the form below and we'll be in touch shortly. Name* First Last Email* Cell/Text Installation Location (City, State)What quantity of an order are you considering?1 – 2021 – 100101 – 500Over 500OPTION: Garden Hose Attachment – ADD $25.00YesNoOPTION: Locking Caster Attachment – ADD $150.00YesNoOPTION: 8' Cord Option – ADD $35.00YesNoOPTION: Automatic Hand Dryer – ADD $450.00YesNoOPTION: Towel Dispenser – ADD $250.00YesNoOPTION: Brushed Stainless Steel Finish – ADD $1,250.00YesNoOPTION: Advertising MonitorPlease contact me to discuss this optionNot InterestedAdditional InstructionsPhoneThis field is for validation purposes and should be left unchanged.
