Order Date: _________________________________________
ASM/Ship Date: _________________________________________
Account No.: _________________________________________
New Account: _________________________________________
Bill to Name: _________________________________________
P.O. # _________________________________________
Contact:: _________________________________________
Ship to Name: _________________________________________
Bill to Address: _________________________________________
Ship to Address: _________________________________________
City/Sate/Zip: _________________________________________City/State/Zip: _________________________________________
Phone: _________________________________________
Credit Card #: _________________________________________
Fax: _________________________________________
Exp. Date: _________________________________________
Taxable (y/n): ______________ % ________________________
Individual/Corp: _________________________________________
Qty Item #
Description
Guard Alaska® Bear Repellent
Unit
Price
GABR-1
Guard Alaska® 9 oz. Bear Repellent
$29.95
BL-PS9
Guard Alaska® 9 oz. Belt Loop Holster
$7.99
Secure® Brand Pepper Spray
SSTG-1
3-in-1® Formula-Choose Holster Color/Qty $9.99
___ Green Camo ___ Pink Camo ___ Black Camo
___ Black ___ Red ___ Yellow
FGH
Individual Holster - No Canister
$4.99
___ Green Camo ___ Pink Camo ___ Black Camo
___ Black ___ Red ___ Yellow
Unit
Qty Item #
Description
Price
Wireless Alarms for Home/Personal Safety
SWCB-1
Wireless One Call Button Caregiver Alert System
$24.99
SWCB-2S
Wireless Two Call Button Caregiver Alert System
$29.99
Slimline Pager One Call Button System $19.99
SWCB-1S
SWCB-2
Wireless Two Call Button Caregiver $34.99
Alert System w/LCD Display
Home Defense Combo Pack
SHDC-1
Wireless Door or Window Break-In Prevention Alarm
$9.99
LD-26B
Personal Glass Break/Vibration Alarm
$9.99
SLD-1
Loud-Door® Alarm
$9.99
SSTG-1SPECIALIndividual Canister - No Holster
SSTG-1F
3-in-1 Formula w/Free Refil
SSTG-3
3-in-1 Formula Home or Auto
$13.99
SSTG-4B
Enhanced 4-in 1TM Formula (Black)
$10.99
PIR-1
Wireless PIR Motion Alarm
$19.99
SSTG-4P
Enhanced 4-in 1 Formula (Pink)
$10.99
FB-1
Flexible PIR Bracket
$14.99
®
TM
$13.99
Pepper Defense® Brand Pepper Spray
PD-2
Pepper Defense -Choose Holster Color/Qty$9.99
®
LEDL-1 Wireless PIR Motion-Activated
LED Night Light
$14.99
Walking Cane
$39.99
WCFA-1B
___ Zombie Green ___ Leopard ___ Zebra ___ Carbon Fiber
___Pink ___ Brown ___ Yellow ___ Red ___ Black
Sub-Total
$4.99
Tax (Iowa Orders Only)
FGH
Individual Holster - No Canister
___ Zombie Green ___ Leopard ___ Zebra ___ Carbon Fiber
___Pink ___ Brown ___ Yellow ___ Red ___ Black
PD-2SPECIAL Individual Canister - No Holster
$4.99
PD-3
Pepper Defense® .75 oz. Key Ring Unit
PD-jogger
Pepper Defense® for Joggers or Hikers $13.99
PDVP-1
Value Pack - .50 oz & .75 oz. units
$9.99
Total
$27.99
DWA-1Y
®
$4.99
Total
Total
Shipping& Handling*
Grand Total
Special Instructions:
$13.99
Home/Personal Safety
SHDC-2
Home Alert System Combo Pack
SLM-99
Secure® Loud-Mate
$89.99
$9.99
SLM-1P
Secure® Loud-Mate - Pink
$9.99
LD-44B
Black Personal Alarm Necklace/Key
Chain Alarm
$9.99
LD-44Y
Yellow Personal Alarm Necklace/Key
Chain Alarm
$9.99
Portable Door Lock
SPDL-1
SSW-1BPCKGD Safety Whistle - Black
$13.99
$6.99
SSW-1Y
Safety Whistle - Yellow
$6.99
SSW-1P
Safety Whistle - Pink
$5.99
Ground Shipping* & Handling Charges
for the Continental United States
$0 to $49.99........................ $6.50
$50 to $99.99...................... $9.50
$100 to $149.99.................. $13.50
$150 to $199.99.................. $17.50
$200 to $299.99.................. $21.50
$300 to $399.99.................. $25.50
$400 to $499.99.................. $29.50
Over $500.00....................... FREE
F
Ship REE
orde ping on
rs
$500over
Overnight, 2nd day or any shipping method other than ground
will be calculated upon request. Please contact us for orders to
be shipped outside of the continental United States.
Mail Order to: PO Box 128, Hiawatha, IA 52233 • Or Fax to: 817.579.9450
For Additional Information Please Call: 888.843.6488
Revised 06/21/16
Order Date: _________________________________________
ASM/Ship Date: _________________________________________
Account No.: _________________________________________
New Account: _________________________________________
Bill to Name: _________________________________________
P.O. # _________________________________________
Contact:: _________________________________________
Ship to Name: _________________________________________
Bill to Address: _________________________________________
Ship to Address: _________________________________________
City/Sate/Zip: _________________________________________City/State/Zip: _________________________________________
Phone: _________________________________________
Credit Card #: _________________________________________
Fax: _________________________________________
Exp. Date: _________________________________________
Taxable (y/n): ______________ % ________________________
Individual/Corp: _________________________________________
Unit
Qty Item #
Description
Price Total
POLICE STRENGTH:
10% OC, 1.33% Major Capsaicinoids Formula in FLIP-TOP
PE510M-FT 2oz Stream 1.33 Cap. 10%
$7.99
Unit
Qty Item #
Description
Price Total
TRAINING INERTS for 2 oz & 4 oz OPEN-TOP or FLIP-TOP
PE510MF-FT 2oz Fog 1.33 Cap. 10%
$7.99
IN5M-FT
2 oz Flip-Top inert - Splatter Stream
$6.99
PE510PF-FT 2oz Foam 1.33 Cap. 10%
$7.99
IN11M-FT 4 oz Flip-Top inert - Splatter Stream
$7.99
3oz Stream 1.33 Cap. 10%
(order individual leather or nylon holsters for inerts from listing below)
Training Inerts Containing WATER ONLY
Training Inerts Containing WATER & Fogging Chemical
PE310M-FT
PE310MF-FT 3oz Fog 1.33 Cap. 10%
$8.99
$8.99
IN5MF-FT 2 oz Flip-Top inert - Fogger
$6.99
PE310PF-FT 3oz Foam 1.33 Cap. 10%
$8.99
IN11MF-FT 4 oz Flip-Top inert - Fogger
$7.99
PE1110M-FT 4oz Stream 1.33 Cap. 10%
$9.99
PE1110MF-FT 4oz Fog 1.33 Cap. 10%
$9.99
IN5PF-FT 2 oz Flip-Top inert - Pepper Foam
PE1110PF-FT 4oz Foam 1.33 Cap. 10%
$9.99
IN11PF-FT 4 oz Flip-Top inert - Pepper Foam
POLICE STRENGTH: FOGGER
PE1410
9 oz Fog 1.33 Cap. 10%
$24.99
POLICE STRENGTH: AEROSOL FOG GRENADE
PE-G510
2 oz Aerosol Fog Grenade
$7.99
PE-G1110
4 oz Aerosol Fog Grenade
$9.99
INDIVIDUAL NYLON HOLSTERS – With Metal Clip
PE-102MC
Nylon Holster w/metal clip for 2 oz Canisters $7.99
Training Inerts Containing WATER & Foaming Chemical
$6.99
$7.99
Sub-Total
Tax (Iowa Orders Only)
Total
Shipping (PSC will figure)
Grand Total
PE-104MC
Nylon Holster w/metal clip for 4 oz Canisters $8.99
PE-109MC
Nylon Holster w/metal clip for 9 oz Canisters $13.99
INDIVIDUAL NYLON HOLSTERS – No Clip
PE-106Nylon Holster for 2 oz Canisters
$5.99
PE-108Nylon Holster for 4 oz Canisters BL-PS9
Nylon Holster for 9 oz Firemaster
$6.99
$10.99
POLICE ENFORCEMENT DUTY WHISTLE & LOUD-MATE ALARM
SSW-1BPCKGD Police Enforcement Duty Whistle
$5.99
SLM-99Secure® Loud-Mate Alarm
$7.99
Special Instructions
Ground Shipping* & Handling Charges
for the Continental United States
$0 to $49.99........................ $6.50
$50 to $99.99...................... $9.50
$100 to $149.99.................. $13.50
$150 to $199.99.................. $17.50
• TX – Commission # 428807 • NY – Contract # RFB #20140118
$200 to $299.99.................. $21.50
$300 to $399.99.................. $25.50
$400 to $499.99.................. $29.50
Over $500.00....................... FREE
F
Ship REE
orde ping on
rs
$500over
Overnight, 2nd day or any shipping method other than ground
will be calculated upon request. Please contact us for orders to
be shipped outside of the continental United States.
Mail Order to: PO Box 128, Hiawatha, IA 52233 • Or Fax to: 817.579.9450
For Additional Information Please Call: 888.843.6488
Revised 06/21/16