Order Form, Specialty Hearing Protection

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
HM-2593 Cap mount muffs, 24 dB NRR. Safety helmet fit chart. $13.50 ea. $
HM-2530 Cap mount muffs, 24 dB NRR. Safety helmet fit chart. $13.50 ea. $
HM-2029 Cap mount muffs, 24 dB NRR. Safety helmet fit chart. $13.50 ea. $
HM-2093 Cap mount muffs, 25 dB NRR. Safety helmet fit chart. $18.45 ea. $
HM-2030 Cap mount muffs, 25 dB NRR. Safety helmet fit chart. $18.45 ea. $
HM-2029 Cap mount muffs, 25 dB NRR. Safety helmet fit chart. $18.45 ea. $
HM-6093 Cap mount muffs, 27 dB NRR. Safety helmet fit chart. $23.45 ea. $
HM-6030 Cap mount muffs, 27 dB NRR. Safety helmet fit chart. $23.45 ea. $
HM-6029 Cap mount muffs, 27 dB NRR. Safety helmet fit chart. $27.00 ea. $
HM-8093 Cap mount muffs, 28 dB NRR. Safety helmet fit chart. $27.00 ea. $
HM-8030 Cap mount muffs, 28 dB NRR. Safety helmet fit chart. $27.00 ea. $
HM-8029 Cap mount muffs, 28 dB NRR. Safety helmet fit chart. $27.00 ea. $
BR-93 Replacement arm brackets for above cap mount earmuffs $12.40 ea. $
BR-30 Replacement arm brackets for above cap mount earmuffs, and replacement for Elvex ProGuard logger's safety caps, CU-25R/30R $12.40 ea. $
BR-29 Replacement arm brackets for above cap mount earmuffs, and replacement for Elvex ProGuard logger's safety caps, CU-60 $12.40 ea. $
QS-29 Quick Slot, creates an accessory slot on safety caps. For use with BR-29, SA-29 (Remove slot-filler from BR-93, SA-93) $5.20 ea. $
CU-25R ProGuard logger's safety cap w. 4-point ratchet suspension, 24 NRR ear muffs, and steel mesh face shield $37.20 ea. $
CU-30R ProGuard logger's safety cap w. 6-point ratchet suspension, 25 NRR ear muffs, and nylon mesh face shield $42.95 ea. $
CU-30L ProGuard helmet with the same specification as CU-30R, but the face shield is an 8" X 12" inches lexan shield $42.95 ea. $
CU-60 ProGuard logger's safety cap with Bullard six point pin-lock suspension, nylon mesh face protection, and 27 NRR ear muffs $53.80 ea. $
SC-30 Safety cap with four point pin-lock suspension. Equipped with accessory slot. Specify color: white, yellow, orange, red, blue. $6.50 ea. $
SC-30R Safety cap with 4-point ratchet suspension. Equipped with accessory slot. Specify color: white, yellow, orange, red, blue. $8.00 ea. $
SC-30R6 Safety cap with 6-point fabric ratchet suspension. Equipped with accessory slot. Specify color: white, yellow, orange, red, blue. $9.50 ea. $
HB-3000 CoolGuard hearing & face combo, Lexan face shield, 27 NRR $33.00 ea. $
HB-7000 BrushGuard hearing & face combo, nylon mesh shield, 27 NRR $28.40 ea. $

---

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

---

---

HK-25 Hygiene Kit for HB-25 and HM-25 $4.90 ea. $
HK-35 Hygiene Kit for HB-35 $4.90 ea. $
HK-30 Hygiene Kit for (older models manufactured before June 2006), HB-50/5000 and HM-80 and HB-49/2000/3000/7000 and HM-20/60 $7.50 ea. $
HK-2000 Hygiene Kit for (newer models manufactured after June 2006) of HB-2000/3000/7000 and HM-20 $7.50 ea. $
HK-5000 Hygiene Kit for (newer models manufactured after June 2006) of HB-5000 and HM-60, HM-80 $7.50 ea. $
HK-80 Hygiene Kit for Com-25/55/65/75/80R/100R $8.25 ea. $
. . . . .
. . . . .
. . . . .

---

SUBTOTAL $ --- --- $

---

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

---

Shipping and Handling --- --- $

---

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