SAFETY-PAYS Order Form

To order, fill out the form below and click submit. If you have any questions, contact sales@safety-pays.com or call 262-695-2208 Ext 117. We verify all orders before shipping.

Full Name:

Company Name:

Phone #: Fax #:

Email Address:

Mailing Address and Billing Address (if different)

Select Banner Description and or Number (for example "D1 Hazardous Voltage Banner"):

Banner Type Language
Select Quantity for Each Size Needed
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty
English
Bilingual
Spanish
4 x 2ft - $46
Qty
6 x 3 ft - $86
Qty
8 x 4 ft - $138
Qty
12 x 6 ft - $209 
Qty

Special Instructions: If you have any shipping requests, color changes, logos, etc. Describe them here, we will verify prior to making banner(s):

We add $8 shipping charge for one banner + $3 for each additional banner.

Send check or money order to Kastwell Inc. P.O. Box 366, Pewaukee, WI 53072-0366

Payment Method: VISA MasterCard Discover American Express Check Purchase Order (net 30)

 If paying by purchase order, fax P.O. number and contact in your accounts payable to 262-364-2826 or email sales@safety-pays.com

Name on Card:

Card Number:

Expiration Date:

Copyright Kastwell Inc. 2006
Last revised: March 2006