Aerosafe Products for GSA, Polybrite Illuminated Safety Wear

The following Order was submitted via the Aerosafe GSA Website: Customer Info: Name: :name Phone: :phone Email: :email >Company Name: :companyname >Shipping Company: :shipcompany >Common Carrier Name: :commoncarriername >Shipping Priority: :shippriority >Shipping Account Number: :shipaccountnumber >Billing Address: :billto >Shipping Address: :shipto Product Info: >Split Vest GSA 633-99 IV00-40: QTY: :splitvest1_qty Price: :splitvest1_cost >Split Vest GSA 633-99 IV00-40: QTY: :splitvest2_qty Price: :splitvest2_cost >Split Vest Left Panel Personalization: QTY: :splitvestleftp_qty Price: :splitvestleftp_cost >Left Panel Text: :splitvestleftp_text >Split Vest Right Panel Personalization: QTY: :splitvestrightp_qty Price: :splitvestrightp_cost >Right Panel Text: :splitvestrightp_text >Split Vest Back Panel Personalization: QTY: :splitvestbackp_qty Price: :splitvestbackp_cost >Back Panel Personalization: :splitvestbackp_text >Poncho Vest GSA633-99 IP00-40: QTY: :poncho1_qty Price: :poncho1_cost >Poncho Vest GSA633-99 IP00-40: QTY: :poncho2_qty Price: :poncho2_cost >Poncho Vest Front Panel Personalization: QTY: :ponchofrontp_qty Price: :ponchofrontp_cost >Front Panel Text: :ponchofrontp_text >Poncho Vest Back Panel Personalization: QTY: :ponchobackp_qty Price: :ponchobackp_cost >Back Panel Text: :ponchobackp_text >46 Belt GSA 633-99 IB46-4Y: QTY: :belt461_qty Price: :belt461_cost >46 Belt GSA 633-99 IB46-4Y: QTY: :belt462_qty Price: :belt462_cost >56 Belt GSA 633-99 IB56-4Y: QTY: :belt561_qty Price: :belt561_cost >56 Belt GSA 633-99 IB56-4Y: QTY: :belt562_qty Price: :belt562_cost >Armbands Regular GSA 633-99 SASM-4Y: QTY: :armbandreg1_qty Price: :armbandreg1_cost >Armbands Regular GSA 633-99 SASM-4Y: QTY: :armbandreg2_qty Price: :armbandreg2_cost >Armbands Large GSA 633-99 SALG-4Y: QTY: :armbandlarge1_qty Price: :armbandlarge1_cost >Armbands Large GSA 633-99 SALG-4Y: QTY: :armbandlarge2_qty Price: :armbandlarge2_cost >Marshalling Wands GSA 633-99 IB-4: QTY: :wand1_qty Price: :wand1_cost >Marshalling Wand Color: :wandcolor >Marshalling Wands GSA 633-99 IB-4: QTY: :wand2_qty Price: :wand2_cost >Marshalling Wand Color: :wandcolor >Industrial Markers GSA 633-99 SM-5Y: QTY: :marker1_qty Price: :marker1_cost >Industrial Markers GSA 633-99 SM-5Y: QTY: :marker2_qty Price: :marker2_cost >Dog Collars 12"-16" GSA 633-99 SCSM-5Y: QTY: :collar121_qty Price: :collar121_cost >Dog Collars 12"-16" GSA 633-99 SCSM-5Y: QTY: :collar122_qty Price: :collar122_cost >Dog Collars 16"-22" GSA 633-99 SCLG-5Y: QTY: :collar161_qty Price: :collar161_cost >Dog Collars 16"-22" GSA 633-99 SCLG-5Y: QTY: :collar162_qty Price: :collar162_cost >Dog Collars 22"-26" GSA 633-99 SCXL-5Y: QTY: :collar221_qty Price: :collar221_cost >Dog Collars 22"-26" GSA 633-99 SCXL-5Y: QTY: :collar222_qty Price: :collar222_cost >TOTAL: :totalcost Thank You For Your Order An Aerosafe Representative will be contacting you soon to verify your order. Regards, The Aerosafe GSA Team Thank You For Your Order
An Aerosafe Representative Will Be Contacting You Soon
To Verify Your Order

ORDER FORM

Please fill out the information section, complete the order form
and navigate to the bottom and click submit. This will email your order to
our sales department where it will be processed. A representative will
call to confirm your order and payment method. Visa, MasterCard,
American Express and Discover Accepted. Thanks

Name:
Phone:
Company Name:
Email:

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FedxUPSAirborneCommon Carrier

Select your shipping priority

Ground

(Additional shipping will apply with options below)
OvernightNext Day2nd Day
Account Number

Billing Address

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Shipping Address

Vest - Split Style

Split Style QTY 100 or Less: COST($47.20 ea.)
Split Style QTY over 100: COST($43.89 ea. Must order 101 or More)

Split Vest Left Panel Personalization: QTY: COST
TEXT

Split Vest Right Panel Personalization: QTY: COST
TEXT

Split Vest Back Panel Personalization: QTY: COST
TEXT

Vest - Poncho Style

Poncho Style QTY 100 or Less: COST($47.20 ea.)
Poncho Style QTY over 100: COST($43.89 ea. Must order 101 or More)

Poncho Front Panel Personalization: QTY: COST
TEXT

Poncho Back Panel Personalization: QTY: COST
TEXT

Belt - 46" QTY 100 or Less: COST($33.03 ea.)

Belt - 46" QTY Over 100: COST($30.71 ea. Must order 101 or More)

Belt - 56" QTY 100 or Less: COST($33.03 ea.)

Belt - 56" QTY Over 100: COST($30.71 ea. Must order 101 or More)

Armband Regular Size
QTY 100 or Less: COST($16.96 ea.)

Armband Regular Size
QTY Over 100: COST($15.77 ea. Must order 101 or More)

Armband Large Size
QTY 100 or Less: COST($16.96 ea.)

Armband Large Size
QTY Over 100: COST($15.77 ea. Must order 101 or More)

Marshalling Wand
QTY 100 or Less: COST($28.26 ea.)

Marshalling Wand
QTY Over 100: COST($26.28 ea. Must order 101 or More)

Wand Color:

Industrial Marker
QTY 100 or Less: COST($21.65 ea.)

Industrial Marker
QTY Over 100: COST($20.13 ea. Must order 101 or More)

Dog Collar 12" - 16"
QTY Less than 100: COST($16.96 ea.)

Dog Collar 12" - 16"
QTY Over 100: COST($15.77 ea. Must order 101 or More)

Dog Collar 16" - 22"
QTY Less than 100: COST($16.96 ea.)

Dog Collar 16" - 22"
QTY Over 100: COST($15.77 ea. Must order 101 or More)

Dog Collar 22" - 26"
QTY Less than 100: COST($18.76 ea.)

Dog Collar 22" - 26"
QTY Over 100: COST($17.44 ea. Must order 101 or More)

TOTAL:

SHIPPING & PAYMENT INFORMATION:

All Products are shipped FOB Destination (overnight, next day, and 2nd day - Additional shipping charges will apply)
All prices are quoted in U.S. Dollars
Payment Terms: Net 30 days with approved credit,

AEROSAFE PRODUCTS
PO BOX 4755
MARIETTA, GEORGIA 50061
(770) 590-8863
1-888-666-7885
FAX: (770) 429-0461
EMAIL: sales@aerosafe.com

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Aerosafe Products, Inc.
PO Box 4755 Marietta, GA 30061
1-888-666-7885 • 770 590-8863 • FAX: 770 429-0461