Order Form, Shooting Safety Products

Fax orders:  Print order form and fax with credit card and shipping information filled in.
Mail orders:  Print order form and mail with your check.
Phone orders:  Print or view order form and call Elvex at 800-888-6582. Have credit card ready (Visa and MasterCard only).

Industrial/Institutional prices may be lower. Contact your local safety equipment distributor for pricing information. Elvex will be pleased to provide name and addresses of a distributor in your area, when available.

Prod. # Product Name and Description
Unit Price
Quantity
Ordered
Total Cost
Com-550 Elvex Impulse, Mil-Spec, electronic earmuff w. bag and batteries, 25 dB NRR $86.00 ea. $
HB-551 Elvex UltraSonic foldable high performance earmuff, with micro fiber draw-string bag, 27 dB NRR $23.50 ea. $
SG-20-Kit-1 Elvex UniWraps safety glass kit: clear, amber and gray lenses, storage bag, and 2 lens micro-fiber bags $23.20 ea. $
      ea. $
      ea. $
      ea. $

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Hygiene Kit =  2 ea. Ear Cushions and 2 ea. foam absorbers ---

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HK-600 Hygiene Kit for Com-550 $7.50 ea. $
HK-650 Hygiene Kit for HB-550, HB-551, HB-650 $7.50

ea.

$

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SUBTOTAL $ --- --- $

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CT Sales Tax, 6% (CT residents only) --- --- $

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Shipping and Handling --- --- $

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TOTAL ORDER $ --- --- $

Ship to:

Name, Title  
Company/Other Information  
Address  
City, State, Zip  
Phone  

Credit card:   VISA  (     )    MasterCard (     )

Credit card number:   ______________________

Credit card Expiration:  ____________________

Billing address, if different from above:

______________________________________

______________________________________

Order Information:
Please include payment with your order. Add shipping costs in accordance with shipping cost table to the right.

Shipping Charges for USA:

  • Minimum order is $30.00
  • For orders below $100.00 add $9.00 for shipping and handling
  • For orders between $100.00 and 250.00 add 9% for shipping and handling
  • For orders exceeding $250.00 add 7% for shipping and handling
International and express shipping orders:
Please inquire by fax or email.
Elvex Corporation, 13 Trowbridge Drive, P.O. Box 850, Bethel, CT 06801, USA
Phone: 800-888-6582, 203-743-2488, Fax: 203-791-2278, E-mail: Info@elvex.com

Order Forms: | Hearing Protection | Specialty Hearing Protection | Eye Protection | Face Protection | Chain Saw Protection | Shooting Safety Products |

Copyright © 2001-2007,  Elvex Corporation