Provide hand hygiene when and where it’s needed with the PURELL ES4 Manual Hand Sanitizer Dispenser Starter Kit. This kit includes a PURELL Advanced Hand Sanitizer Foam Refill and ES4 Push-Style Dispenser, so you have everything you need to provide hand sanitizer in your facility and send a signal that your building is committed to cleanliness and well-being. The 1200 mL refill of PURELL Advanced Hand Sanitizer Foam kills 99.99 percent of most common germs and leaves skin feeling clean and refreshed. Large size minimizes change-outs, and the AT-A-GLANCE design makes it easy to know when product is getting low. The PURELL Advanced Hand Sanitizer Foam Refill works with the ES4 Push-Style Dispenser and reflects and enhances the image of any facility and provides easy access to hand sanitizer with a reliable push-style system. Plus, 80 percent of people said seeing PURELL products left them with a positive overall impression. Requires minimal upkeep. Small size is ideal for placement anywhere hand sanitizer is needed most to help kill germs throughout the day. Case Includes: 1 – PURELL ES4 Manual Hand Sanitizer Dispenser in Graphite, adhesive mounting tape, and 1 PURELL Advanced Hand Sanitizer Foam refill. Refill design is changing to remove "Healthcare" label, but you may receive some refills with the “Healthcare” label as we transition; rest assured, the formula is the same, great PURELL Advanced Hand Sanitizer for both. GOJO Industries, a purpose-driven Family Enterprise, invented hand sanitizer in 1988. We are the leading manufacturer of skin care products for businesses.