Thank you for your interest in The Clean Clip automated personal sanitizer.

If interested, please complete our “Letter of Interest” form.

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Organization Name: *

Contact Person: *

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Title/Position:

Address:

Phone:

Email: *

Clean Clip Dispensers *

Please indicate the number of Clean Clip dispensers you are requesting in this order.

Cartridge Supply Program *

How many cartridges do you anticipate to use monthly? Health Industry workforce often dispense 1 sanitizer cartridge per shift.

Clean Clip Cartridges

Please indicate the number of cartridges that you wish to order. In excess to your monthly supply, this field allows you to add an extra supply request.

Comment or Message

Please add any further comments or questions here. We try to respond to all requests within 24 hours.

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Our Technical White Papers are available upon request.

We encourage you to contact us with any questions at info@cleanclipsolutions.com.