Same Company,
New Logo - Serving Emergency Service Volunteers and
Professionals Since 1977
ONLINE CATALOG ORDER FORM*
* U.S. Residents Only
- Because of special shipping requirements, duty and taxes, ALL Foreign Orders must
be submitted by e-mail or contact our sales staff at 570-752-2179. (Hours are 9
AM - 5 PM E.S.T., Mon - Fri). An accurate quote for freight costs will be given
prior to taking your credit card information.
E-mail Address
Billing Contact
Billing Name
Billing Address
Billing City
Billing State
Billing Zip Code
Phone Number
Best Time of Day to Contact
(at least one time must be chosen by clicking and highlighting
the selection, not just by bringing it in the window. Control+Click for multiple
selections.)
Fax Number
Enter your Shipping Information: (if different from above)
Check if same
as above.
Shipping Contact
Shipping Name
Shipping Address
*must be street address for UPS
Shipping City
Shipping State
Shipping Zip Code
Enter your order information:
Quantity
Item #
Description
Unit Price
Amount
Order
Subtotal
MINIMUM ORDER AMOUNT IS $15,
OTHERWISE ADD $2.50
HANDLING CHARGE.
Min. Handling
CALCULATE SHIPPING
BASED ON
YOUR
ORDER SUBTOTAL
UNDER $50 - Add $8.00
$50 - $100 - Add $9.00
OVER $100 - Add $10.00
(or call for accurate quote)
* Rates are for delivery in U.S.
UPS Shipping
Charge
Pennsylvania Residents add Sales Tax to the
Order Subtotal, Min. Handling, and Shipping Charge Fields Combined Total. * Out of State Residents are Tax Exempt
* Fire Co.'s/EMS/etc. are Tax Exempt
(please provide your sales tax number)
* Sales Tax
(PA 6%)
Sales Tax #
Order
Total Due
Choose Method of Payment:
Credit Card #
Expiration Date
Code #
PO # (if invoicing)
Customer # (if invoicing)
Enter your imprint copy here if applicable:
Imprint Line 1
Imprint Line 2
Imprint Line 3
Imprint Line 4
Imprint Line 5
Comments, Questions , Additional Imprint Instructions or
Special Shipping Requirements? Let us know if your items are needed for an event and what the date of
the event is.
Press the ORDER NOW button to place this order. You will receive an "on-screen"
acknowledgement that you can print out as a receipt.
