ORDER FORM

Promodiser's Name: _______________________________ Date: ____________________

Branch Assignment: ________________________________
ITEM CODE CATEGORY QTY.SOLD ON-HAND ORDER
GROUP B
1 APLED3-10DL BULB - PREMIERE
2 APLED3-7DL BULB - PREMIERE
3 APLED3-5DL BULB - PREMIERE
4 APLED3-3DL BULB - PREMIERE
5 ALED-T818DL BULB - T8 TUBE
6 APLED3-7WW BULB - PREMIERE
7 APLED3-5WW BULB - PREMIERE
8 APLED3-10WW BULB - PREMIERE
9 APLED3-3WW BULB - PREMIERE
10 APLED3-15DL BULB - PREMIERE
11 ALED-T89DL BULB - T8 TUBE
12 ADWN-K3WW DOWNLIGHT - DIRECTIONAL S
13 ADWN-K3DL DOWNLIGHT - DIRECTIONAL S
14 ALED-T516WW T5 SHADOWLESS
15 APNL-327(VK) FIXTURE - PINLIGHT
16 ALED-T516DL T5 SHADOWLESS
17 ALED-T8G16DL BULB - T8 GLASS
18 APNL-227VG-CFK FIXTURE - PINLIGHT
19 ALED-CT3DL-E14 BULB - CANDLE
20 AEF-8C EXHAUST FAN
21 ALED-CT3WW-E27 BULB - CANDLE
22 ALED-T512WW T5 SHADOWLESS
23 ALED-CT3WW-E14 BULB - CANDLE
24 AEF-4FT8 FIXTURE - T8 MINI
25 APNL-STR4B FIXTURE - PINLIGHT
26 APNL-427VG-CFK FIXTURE - PINLIGHT
27 ADWN-K5WW DOWNLIGHT - DIRECTIONAL S
28 APNL-227(VK) FIXTURE - PINLIGHT
29 ACF-MX101 FIXTURE - CEILING LAMP
30 AEF-10C EXHAUST FAN
31 ALED-CT3DL-E27 BULB - CANDLE
32 ADWN-K5DL DOWNLIGHT - DIRECTIONAL S
33 APNL-STR4W FIXTURE - PINLIGHT
34 APLED3-15WW BULB - PREMIERE
35 AELG-L412 EMERGENCY LIGHT
36 APNL-627VG-CFK FIXTURE - PINLIGHT
 ORDER FORM
Promodiser's Name: _______________________________ Date: ____________________
Branch Assignment: ________________________________
ITEM CODE CATEGORY QTY.SOLD ON-HAND ORDER
GROUP B
37 AEF-12C EXHAUST FAN
38 ACF-MX501 FIXTURE - CEILING LAMP
39 ALED-T512DL T5 SHADOWLESS
40 ALED-FT818DL FIXTURE - LITEBOX T8
41 ALED-T59DL T5 SHADOWLESS
42 ALED-T59WW T5 SHADOWLESS
43 ALED-T54DL T5 SHADOWLESS
44 AUA-001-BP ACCESSORIES - ELECTRICAL
45 AEF-8W EXHAUST FAN
46 ACL-O20DL CIRCULAR LAMP
47 ADWN-K7DL DOWNLIGHT - DIRECTIONAL S
48 ARFL-8901 RECHARGEABLE FLASHLIGHTS
49 AGL-001 FIXTURE - GARDEN LAMP
50 ANX-T5X16WW FIXTURE - T5 SHADOWLESS
51 ANX-T5X16DL FIXTURE - T5 SHADOWLESS
52 ANX-MBTA607WDL BULB - REGULAR
53 ANX-JTCB5W BULB - TRI-COLOR
54 ANX-LPR6D DOWNLIGHT - LOW PROFILE
55 ANX-T5X12WW FIXTURE - T5 SHADOWLESS
56 ANX-LPR9D DOWNLIGHT - LOW PROFILE
57 ANX-MBTA605DL BULB - REGULAR
58 ANX-MBTA6010DL BULB - REGULAR
59 ANX-JTCB7W BULB - TRI-COLOR
60 ANX-MR16-3WW BULB - MR16
61 ANX-LPS3D DOWNLIGHT - LOW PROFILE
62 ANX-LPR3D DOWNLIGHT - LOW PROFILE
63 ANX-T5X8WW FIXTURE - T5 SHADOWLESS
64 ANX-LPS6D DOWNLIGHT - LOW PROFILE
65 ANX-MR16-3DL BULB - MR16
66 ANX-MR16-3NW BULB - MR16 NARROW
67 ANX-LPS9D DOWNLIGHT - LOW PROFILE
68 ANX-CC3WQ DOWNLIGHT - COLOR CHANGI
69 ANXCS503 EMERGENCY LIGHT
70 ANX-T5X12DL FIXTURE - T5 SHADOWLESS
71 ANX-T5X8DL FIXTURE - T5 SHADOWLESS
72 ANX-MR16-5WW BULB - MR16
 ORDER FORM
Promodiser's Name: _______________________________ Date: ____________________
Branch Assignment: ________________________________
ITEM CODE CATEGORY QTY.SOLD ON-HAND ORDER
GROUP B
73 ANX-MR16-5DL BULB - MR16
74 ANX-LPS12D DOWNLIGHT - LOW PROFILE
75 ANX-CC9WQ DOWNLIGHT - COLOR CHANGI
76 ANX-LPR12D DOWNLIGHT - LOW PROFILE
77 ANX-MR16-5NW BULB - MR16 NARROW
78 ANX-CC5WQ DOWNLIGHT - COLOR CHANGI
79 ANX-LPR9W DOWNLIGHT - LOW PROFILE
80 ANX-CC7WQ DOWNLIGHT - COLOR CHANGI
81 ANX-LPR6W DOWNLIGHT - LOW PROFILE
82 ANX-T5X4WW FIXTURE - T5 SHADOWLESS
83 ANX-TCB3W BULB - TRI-COLOR
84 ANX-FTMR16B FIXTURE - TRACKLIGHT
85 ANX-FTMR16W FIXTURE - TRACKLIGHT
86 ANX-CL12DL FIXTURE - CEILING LAMP_REG
87 ANX-JTCB10W BULB - TRI-COLOR
88 ANX-CL6DL FIXTURE - CEILING LAMP_REG
89 ANX-LPS6W DOWNLIGHT - LOW PROFILE
90 ANX-LPS3W DOWNLIGHT - LOW PROFILE
91 ANX-MBTA605WW BULB - REGULAR
92 ANX-TCR8W FIXTURE - CEILING LAMP_TRI-
93 ANX-T5X4DL FIXTURE - T5 SHADOWLESS
94 ANX-LPS12W DOWNLIGHT - LOW PROFILE
95 ANX-LPS9W DOWNLIGHT - LOW PROFILE
96 ANX-LPR3W DOWNLIGHT - LOW PROFILE
97 ANX-COB5WW DOWNLIGHT - COB
98 ANX-FIL14C4WW BULB - FILAMENT
99 ANX-MBTA60-7WWWBULB - REGULAR
100 ACBR-GEP-2P15A CIRCUIT BREAKER
101 ACBR-GEP-2P20A CIRCUIT BREAKER
102 ACBR-GEP-2P30A CIRCUIT BREAKER
103 ACBR-GEP-2P40A CIRCUIT BREAKER
104 ACBR-GEP-2P50A CIRCUIT BREAKER
105 ACBR-GEP-2P60A CIRCUIT BREAKER
106 WIRING DEVICES - CLIQ
AWD-101I SERIES
 ORDER FORM
Promodiser's Name: _______________________________ Date: ____________________
Branch Assignment: ________________________________
ITEM CODE CATEGORY QTY.SOLD ON-HAND ORDER
GROUP B
107 WIRING DEVICES - CLIQ
AWD-101BI SERIES
WIRING DEVICES - CLIQ
108 AWD-101GI SERIES
WIRING DEVICES - CLIQ
109 AWD-101WI SERIES
110 WIRING DEVICES - CLIQ
AWD-102I SERIES
WIRING DEVICES - CLIQ
111 AWD-102BI SERIES
112 WIRING DEVICES - CLIQ
AWD-102GI SERIES
113 WIRING DEVICES - CLIQ
AWD-102WI SERIES
114 WIRING DEVICES - CLIQ
AWD-103I SERIES
115 WIRING DEVICES - CLIQ
AWD-103BI SERIES
116 WIRING DEVICES - CLIQ
AWD-103GI SERIES
117 WIRING DEVICES - CLIQ
AWD-103WI SERIES
118 WIRING DEVICES - CLIQ
AWD-201I SERIES
119 WIRING DEVICES - CLIQ
AWD-201BI SERIES
120 WIRING DEVICES - CLIQ
AWD-201GI SERIES
121 WIRING DEVICES - CLIQ
AWD-201WI SERIES
122 WIRING DEVICES - CLIQ
AWD-202I SERIES
123 WIRING DEVICES - CLIQ
AWD-202BI SERIES
124 WIRING DEVICES - CLIQ
AWD-202GI SERIES
 ORDER FORM
Promodiser's Name: _______________________________ Date: ____________________
Branch Assignment: ________________________________
ITEM CODE CATEGORY QTY.SOLD ON-HAND ORDER
GROUP B
125 WIRING DEVICES - CLIQ
AWD-202WI SERIES
126 WIRING DEVICES - CLIQ
AWD-204I SERIES
127 WIRING DEVICES - CLIQ
AWD-204BI SERIES
128 WIRING DEVICES - CLIQ
AWD-204GI SERIES
129 WIRING DEVICES - CLIQ
AWD-204WI SERIES
130 WIRING DEVICES - CLIQ
AWD-2USBI SERIES
131 WIRING DEVICES - CLIQ
AWD-2USBBI SERIES
132 WIRING DEVICES - CLIQ
AWD-2USBGI SERIES
133 WIRING DEVICES - CLIQ
AWD-2USBWI SERIES
134 WIRING DEVICES - CLIQ
AWD-205I SERIES
135 WIRING DEVICES - CLIQ
AWD-205BI SERIES
136 WIRING DEVICES - CLIQ
AWD-205GI SERIES
137 WIRING DEVICES - CLIQ
AWD-205WI SERIES
138 WIRING DEVICES - CLIQ
AWD-207I SERIES
139 WIRING DEVICES - CLIQ
AWD-207BI SERIES
140 WIRING DEVICES - CLIQ
AWD-207GI SERIES
141 WIRING DEVICES - CLIQ
AWD-207WI SERIES
 ORDER FORM
Promodiser's Name: _______________________________ Date: ____________________
Branch Assignment: ________________________________
ITEM CODE CATEGORY QTY.SOLD ON-HAND ORDER
GROUP B
142 WIRING DEVICES - CLIQ
AWD-208I SERIES
143 WIRING DEVICES - CLIQ
AWD-208BI SERIES
144 WIRING DEVICES - CLIQ
AWD-208GI SERIES
145 WIRING DEVICES - CLIQ
AWD-208WI SERIES
146 WIRING DEVICES - CLIQ
AWD-209I SERIES
147 AVR-SVC 1000 AVR
148 AVR-SVC 1500 AVR
149 AVR-SVC 2000 AVR
150 AVR-SVC 3000 AVR
151 AVR-SVC 500 AVR
152 AVR-SVR 500W AVR
153 ALED-T54WW T5 SHADOWLESS
154 EMERGENCY BULB - HEAVY
ANX-EMB12DL DUTY
155 EMERGENCY BULB - HEAVY
ANX-EMB6DL DUTY
156
ANX-QE5DL EMERGENCY BULB - QUICK E
157
ANX-QE7DL EMERGENCY BULB - QUICK E
158
ANX-QE9DL EMERGENCY BULB - QUICK E
159 ANX-SEMB7W EMERGENCY BULB
160 FIXTURE - CEILING
ANX-CL12WW LAMP_REGULAR
161 FIXTURE - CEILING
ANX-CL18DL LAMP_REGULAR
162 FIXTURE - CEILING
ANX-CL18WW LAMP_REGULAR
 ORDER FORM
Promodiser's Name: _______________________________ Date: ____________________
Branch Assignment: ________________________________
ITEM CODE CATEGORY QTY.SOLD ON-HAND ORDER
GROUP B
163 FIXTURE - CEILING
ANX-CL24DL LAMP_REGULAR
164 FIXTURE - CEILING
ANX-CL24WW LAMP_REGULAR
165 FIXTURE - CEILING
ANX-CL6WW LAMP_REGULAR
166 FIXTURE - CEILING
ANX-CLSQ14DL LAMP_REGULAR
167 FIXTURE - CEILING
ANX-CLSQ14WW LAMP_REGULAR
168 FIXTURE - CEILING
ANX-CLSQ18DL LAMP_REGULAR
169 FIXTURE - CEILING
ANX-CLSQ18WW LAMP_REGULAR
170 FIXTURE - CEILING
ANX-CLSQ24DL LAMP_REGULAR
171 FIXTURE - CEILING
ANX-CLSQ24WW LAMP_REGULAR
172 FIXTURE - CEILING
ANX-CLSQ8DL LAMP_REGULAR
173 FIXTURE - CEILING LAMP_TRI-
ANX-TCR14W COLOR
174 FIXTURE - CEILING LAMP_TRI-
ANX-TCR18W COLOR
175 FIXTURE - CEILING LAMP_TRI-
ANX-TCR24W COLOR
176 FIXTURE - CEILING LAMP_TRI-
ANX-TCS14W COLOR
177 FIXTURE - CEILING LAMP_TRI-
ANX-TCS18W COLOR
178 FIXTURE - CEILING LAMP_TRI-
ANX-TCS24W COLOR
179 FIXTURE - CEILING LAMP_TRI-
ANX-TCS8W COLOR
 ORDER FORM
Promodiser's Name: _______________________________ Date: ____________________
Branch Assignment: ________________________________
ITEM CODE CATEGORY QTY.SOLD ON-HAND ORDER
GROUP B
180 CEILING LAMP - TRI-COLOR
ANX-TSM8W GLITTER
181 CEILING LAMP - TRI-COLOR
ANX-TSM14W GLITTER
182 CEILING LAMP - TRI-COLOR
ANX-TSM18W GLITTER
183 CEILING LAMP - TRI-COLOR
ANX-TSM24W GLITTER
184 AEC-8802N EXTENSION CORD
185 AEC-917 EXTENSION CORD
186 AEC-918 EXTENSION CORD
187 AEC-923 EXTENSION CORD
188 AEMK-849 ELECTRIC MOSQUITO KILLER
189 AEMK-S20W MOSQUITO KILLER
190 AWF-7118F FIXTURE - WEATHERPROOF
191 AWF-7136F FIXTURE - WEATHERPROOF
192 AWF-7218F FIXTURE - WEATHERPROOF
193 AWF-7236F FIXTURE - WEATHERPROOF
194 AFD-T8209 FIXTURE - T8 DIFFUSER
195 AFD-T8218 FIXTURE - T8 DIFFUSER
196 AFG-T8209 FIXTURE - T8 GRILL
197 AFG-T8218 FIXTURE - T8 GRILL

Signature of Promodiser: _______________________ Processed by:_____________________

Checked by: ________________________________ Approved by:_____________________

______________