Company Name: Admin Name: Signature: Admin Email: Company Shipping Address City State Zip: Admin Phone: ( ) - CREDIT CARD NET 0 PRE-PAY DUE ON RECEIPT New Employee Hire: No Yes Company Logo on Tops (Shirts, s, Jackets): No Yes ($5.95 per garment) Employee Name Logo: No *Yes *Name on Garment: ($.95 per garment) Silver Reflective Tape on Jacket/Bib: No Yes (" Ref. Tape on Jacket: $5- " Ref. Tape on Bibs: $0-) LONG-SLEEVE SHIRTS Quantity Size Color (circle one) Description Weight HRC FRS60 Khaki Med Blue Gray Carhartt Twill Long-Sleeve FRS00 Khaki Med Blue Gray Carhartt Work-Dry Lightweight Long-Sleeve FRW5DN Chambray Wrangler Chambray 7.5 oz FRS006 FRW5 PLAID...008 SLU Royal Blue Khaki Blue Khaki Moss Steel New Crimson Khaki (new) Discontinued February 05: Med Blue Crimson Tan Light Blue Gray Royal Carhartt Snap-Button Long-Sleeve Wrangler Plaid Long-Sleeve Carhartt Plaid Long-Sleeve Bulwark Dress Uniform Long-Sleeve 7.5 oz 6.5 oz SND Tan Golf Blue Bulwark Long-Sleeve.5 oz 5PRO65 Cool Blue Tan Workrite Protera 6.5 oz DFLS QT0 **The following items are ARC-rated (flame-resistant) and noted by HRC level in the right column** Non-FR 00% cotton t-shirts can be found on the last page of the order form. Pricing, based on size per garment, and additional FR information can be found in Amaril Uniform catalog. Khaki Med Blue Tan Charcoal Red (new) Drifire Long-Sleeve Moisture Wicking Bulwark iq Series Moisture-Wicking Henley 5. oz 007 (was FRK9) Sand Gray Med Blue Carhartt Long-Sleeve Henley SEL Tan Gray Orange Light Blue Bulwark Long-Sleeve Henley 6.5 oz SML QT NO TALL Khaki Gray Tan Charcoal Red Bulwark Long-Sleeve Cool-Touch Henley Bulwark iq Series Moisture-Wicking Long-Sleeve 6.5 oz 5. oz 005 (was FRK9) Sand Gray Med Blue Carhartt Long-Sleeve C5CRLS Khaki Gray NSA Long-Sleeve 6.5 oz DFCM65ALS Tan Dri- Fire Long Sleeve Crewneck 8.75 oz...008 Medium Blue Carhartt Long-Sleeve Polo 0059 (was FRK95) Gray Carhartt Mock Turtleneck C5MT Gray NSA Mock Turtleneck 6.5 oz C5TNT NSA Full Turtleneck 6.5 oz EMAIL ORDERS TO: cartsales@amaril.com Fall 0 - Rev...0 Fax:.866.87.5 Page of 7
DFCM6LSU...05 FRK009 Tan Gray Sand Dri-Fire Long-Sleeve Carhartt Base Force Cold Weather Crewneck Carhartt Long-Sleeve 5.5 oz 7. oz SHORT-SLEEVE SHIRTS Quantity Size Color (circle one) Description Weight HRC QT0 SET8 Tan Charcoal Red (new) Gray Bulwark iq Series Moisture-Wicking Short-Sleeve Bulwark /Gray Short-Sleeve 5. oz 6.5 oz C5CRSSTN/VRSSOR 00 (was FRK087) MPUGY FRK008 DFCM6TS NO TALL Tan Orange NSA Tan/Orange Short-Sleeve 6.5 oz Gray Carhartt Short-Sleeve Gray/ Two-Tone Sand Tan Bulwark Short-Sleeve Carhartt Short-Sleeve Drifire Short-Sleeve 5.5 oz 5.5 oz.5 oz LONG JOHN BOTTOMS Quantity Size Color (circle one) Description Weight HRC...06 Carhartt Base Force Cold Weather Bottoms 7. oz DFB00 TrueNorth Long John Bottom.7 oz C5LJB NSA Long John Bottom 6.5 oz HI-VISIBILITY SHIRTS Quantity Size Color (circle one) Description Weight HRC DFAXHYBD Hi Vis Yellow Drifire Hi-Vis DFAX65ALSHY Hi Vis Yellow Drifire Moisture-Wicking Hi-Vis Long-Sleeve 8.7 oz FRK00 Hi Vis Yellow Carhartt Hi-Vis Long-Sleeve 7.75 oz C5HYCLSTEE Add Pocket? Yes Hi Vis Yellow NSA Hi-Vis Long-Sleeve (with pocket or without) 7.75 oz C5HYCLSHEN Hi Vis Yellow NSA Hi-Vis Long-Sleeve Henley 7.75 oz C5HYCSSTEE Add Pocket? Yes Hi Vis Yellow NSA Hi-Vis Short-Sleeve (with pocket or without) 7.75 oz SWEATSHIRTS Quantity Size Color (circle one) Description Weight HRC FRK7 Carhartt Crewneck.5 oz FRK006 Carhartt Pullover.5 oz FRK007 Carhartt Zip.5 oz...0067 Carhartt Thermal-Lined Zip.5 oz...00 Carhartt Klondike Zip.5 oz EMCSLCN Amaril Crewneck.5 oz EMCSLPF Amaril Single-Lined Pullover.5 oz EMCSLZF5 Amaril Single-Lined Zip.5 oz EMCDLPF Amaril Double-Lined Pullover.5 oz EMCDLZF5 Amaril Double-Lined Zip.5 oz EMAIL ORDERS TO: cartsales@amaril.com Fall 0 - Rev...0 Fax:.866.87.5 Page of 7
EMCDLPFHVR EMCDLZF5HVR Reversible / Hi Vis Yellow Reversible / Hi Vis Yellow Amaril Double-Lined Reversible Pullover Amaril Double-Lined Reversible Zip.5 oz.5 oz NSACHCPF Hi Vis Yellow NSA Hi-Vis Pullover 0.5 oz NSACHCZF5 Hi Vis Yellow NSA Hi-Vis Zip 0.5 oz EMCSLPFHTT EMCSLZF5HTT EMCDLPFHTT EMCDLZF5HTT Two Tone / Hi Vis Yellow Two Tone / Hi Vis Yellow Two Tone / Hi Vis Yellow Two Tone / Hi Vis Yellow Amaril Two-Tone Single-Lined Pullover Amaril Two-Tone Single-Lined Zip Amaril Two-Tone Double-Lined Pullover Amaril Two-Tone Double-Lined Zip 0.0 oz 0.0 oz 8.0 oz 8.0 oz EMCSLCNHTT Two Tone / Hi Vis Yellow Amaril Two-Tone Crewneck 0.0 oz SMH6NV Bulwark Fleece Zip 8.0 oz 8F0 Actionwear Fleece Pullover 7.5 oz DF00 DFM00 True North DragonWear Omega Hoodie True North DragonWear Elements / Zip 8.7 oz 0.0 oz. FRQZ Werewolf Brown Ariat / Lightweight Sweater 7.5 oz VESTS Quantity Size Color (circle one) Description Weight HRC...009 Carhartt Sherpa-Lined Vest LLSBD Brown Duck Bulwark Brown Duck Vest.5 oz LNSNV Bulwark Nomex Twill Vest.5 oz PANTS Quantity Wst x Len FRM Specialized Pant Hemming: $8.00 Color (circle one) Description Weight HRC Ariat M Low-Rise Boot-Cut Denim Flint (light wash) Shale (dark wash) Jean.0 oz WP78800 Denim Cinch White Label Jean.75 oz MP789000 Denim Cinch Green Label Jean.75 oz FRB59 Khaki Moss Chocolate Carhartt Canvas Cotton Pant FRB0 Khaki Carhartt Canvas Cargo Jean FRB9 Brown Duck Carhartt Duck Work Dungaree oz FRB00 Denim Carhartt Lightweight Straight Leg Jean.75 oz FRB Denim Carhartt Lightweight Dungaree.75 oz...0070 Midstone Denim Carhartt Double-Knee Jean.5 oz...0060 Midstone Denim Carhartt Twill-Lined Winter Jean.5 oz FR7MLW Denim Wrangler Lightweight Original Fit Jean.5 oz FRW00 Denim Wrangler Carpenter Jean.5 oz FRW050 Denim Wrangler Relaxed 5 Pocketed Jean.5 oz FRMWZ Denim Wrangler Relaxed Fit Cowboy Cut Jean.75 oz EMAIL ORDERS TO: cartsales@amaril.com Fall 0 - Rev...0 Fax:.866.87.5 Page of 7
FRMWZ JACKETS Quantity Size Denim Wrangler Cowboy Cut Original Fit Straight Leg Jean.75 oz " Reflective Tape Per Coat: $5.00 Color (circle one) Description Weight HRC...0575 (was 009) 068 (was FRC066)...06 (was FRJ6) 06 (was FRJ8) 06 (was FRJ95) 06 (was FRJ7) Carhartt Portage Jacket.5 oz Brown Duck Steel (non-inven) Brown Duck Brown Duck (non-inventory) Brown Duck Brown Duck Carhartt Traditional Quilt-Lined Coat Carhartt Dearborn Quilt-Lined Jacket Carhartt Duck Active Jacket Carhartt Duck Bomber Jacket Carhartt Mid-Weight Active Jacket FRJ00 Brown Duck Carhartt Spring/Fall Bomber Jacket 065 (was FRJ00) JB65 JL65 (Liner for JB65) Brown Duck (non-inventory) Carhartt Lanyard Access Jacket Actionwear Nomex Bomber Shell Jacket Actionwear Nomex Quilt Jacket Liner...85 Actionwear Nomex / Parka 8F (Liner for 85) oz 0.5 oz 8.75oz oz.5 oz oz.5 oz 8.75 oz 8.75 oz Actionwear Fleece Liner 7.5 oz JB60 Actionwear Nomex Bomber Jacket JF50 Actionwear Nomex Spring/Fall Jacket JNPNV Bulwark Nomex Parka. oz DF500 True North DragonWear Exxtreme Fleece Jacket. oz DF00 True North DragonWear Alpha Jacket 8.7 oz DFS00 True North DragonWear Soft Shell Jacket (Arm Logo Only) 6.9 oz HOODS Quantity Size Color (circle one) Description Weight HRC FRA65 ONE SIZE Brown Duck Steel (non-inven) FRA00 ONE SIZE Brown Duck (non-inventory) HH50 ONE SIZE Carhartt Quilt-Lined Hood (FRC066 & FRJ95) Carhartt Quilt-Lined Hood (FRJ6 & FRJ00) Actionwear Nomex Hood (JB65 & JB60) HNHNV ONE SIZE Bulwark Nomex Hood (JNPNV) BIBS Quantity Size 8.75 oz 6 oz 6. oz. oz " Reflective Tape on Bibs: $0.00 Color (circle one) Description Weight HRC 067 (was FRR5) Waist x Length 066 (was FRR) Waist x Length 8A 8AM BNNNV Size Size Size Brown Duck (non-inventory) Carhartt Unlined Bib Overall.0 oz Brown Duck Steel (non-inven) Carhartt Quilt-Lined Bib Overall.0 oz Actionwear Nomex Water-Resistant Unlined Bib Overall Actionwear Nomex Water-Resistant Quilt-Lined Bib Overall Bulwark Nomex Water-Resistant Quilt- Lined Bib Overall. oz RAIN GEAR Quantity Size Color (circle one) Description Weight HRC 550JNFY / Hi Vis Yellow Nasco Nomex Rain Jacket Class Level EMAIL ORDERS TO: cartsales@amaril.com Fall 0 - Rev...0 Fax:.866.87.5 Page of 7
FLC00JB0 Nasco Nomex Fleece Liner Not Shown 500TFY / Hi Vis Yellow Nasco Nomex Rain Bib R0RL06DCIP Hi Vis Yellow NSA Hi-Vis Rain Jacket R0RL9BIB Hi Vis Yellow NSA Hi-Vis Rain Bib J Hi Vis Yellow Tingley Hi-Vis Jacket 9.0 oz O Hi Vis Yellow Tingley Hi-Vis Bib 9.0 oz C Hi Vis Yellow Tingley Hi-Vis Coat (knee-length) 9.5 oz COVERALLS Quantity Size Color (circle one) Description Weight HRC ULT95NV Workrite Single Lined Coverall 9.5 oz Class Level Class Level Class E Level ID95WT With Tape Orange Workrite Single Lined Coverall 9.5 oz...007 Khaki Steel Royal (non-inventory) Carhartt Single-Lined Coverall 9.0 oz CEC Khaki Orange Royal Bulwark Contractor Single-Lined Coverall 9.0 oz...060 (was 0096) Brown Duck Carhartt Quilt-Lined Full Body Coverall.0 oz LADIES Quantity Size Color (circle one) Description Weight HRC CLB7NV Ladies Bulwark Coverall 9.0 oz WFRS60 Khaki Ladies Carhartt SLU Light Blue Ladies Bulwark QT Tan Charcoal Ladies Bulwark iq Series Moisture- Wicking Polo 5. oz...007 (was WFRK9) Gray (new) Ladies Carhartt Long-Sleeve...07 Ladies Carhartt Klondike.5 oz DFW500 Ladies TrueNorth Exxtreme Jacket 8.7 oz DFW00 Ladies TrueNorth Alpha Jacket 8.7 oz 069 (was WFRJ0) FRW0BL WFRB59 Waist x Length Waist x Length Brown Duck Ladies Carhartt Mid-Weight Jacket Denim Ladies Wrangler Bootcut Denim Jean.75 oz Khaki Ladies Carhartt Canvas Cotton Pant...09 (was WFRB60) Waist x Length Denim Ladies Carhartt Denim Jean.75 oz HI VIS VESTS Quantity Size Color (circle one) Description Weight HRC VMVHV Hi Vis Yellow Bulwark Hi Vis Vest VMV8HV Hi Vis Yellow Bulwark Hi Vis Vest FRV005 Hi Vis Yellow Carhartt Hi Vis Vest VOOHAZ Hi Vis Yellow NSA Velcro Hi Vis Vest w/ Sleeves VOHAZIP Hi Vis Yellow NSA Zip-Front Hi-Vis Vest ESTEXVEST Hi Vis Yellow Estex Zip-Front Hi-Vis Vest w/ Harness Class Level Class Level Class Level Class Level Class Level Class Level EMAIL ORDERS TO: cartsales@amaril.com Fall 0 - Rev...0 Fax:.866.87.5 Page 5 of 7
HEAD/NECK Quantity Size Color (circle one) Description Weight HRC 8FBALAV ONE SIZE Actionwear Fleece Balaclava 7.5 oz 8HHCOL ONE SIZE Hole-R.Bl 6 Hole- 8HHH ONE SIZE Hole-R.Bl 6 Hole- Actionwear Hardhat Liner Actionwear Hardhat Liner FRSTCAP ONE SIZE Amaril Stocking Cap.6 oz FRSTC SKULL ONE SIZE Amaril Skull Cap.6 oz HMCBK ONE SIZE Bulwark Knit Stocking Cap 0.5 oz DF90 (was TNDF9C) FRNKWARSM ONE SIZE FRNKWARLG ONE SIZE FROSHHNW ONE SIZE. oz. oz ONE SIZE True North Double-Shot Fleece Hat.oz Amaril Double-Lined Small Neck Warmer Amaril Double-Lined Large Neck Warmer Amaril Double-Lined Oversized Neck Warmer FRFLHOOD ONE SIZE Amaril Double-Lined Hardhat Hood.6 oz.6 oz.6 oz HBA ONE SIZE NSA Single-Lined Balaclava 9.5 oz HBA ONE SIZE NSA Double-Lined Balaclava 9.0 oz FRA00 ONE SIZE Carhartt Double-Lined Balaclava w/ Mask 0.0 oz 0579 (was 006) 0580 (was 0065) 0578 (was 0066) ONE SIZE Carhartt -in- Knit Hat w/ Mask 0.5 oz ONE SIZE Carhartt Fleece Neck Gaiter 0.5 oz ONE SIZE Carhartt Fleece Hat 0.5 oz...000 ONE SIZE Carhartt Hard Hat Liner 9.0 oz...08 ONE SIZE Carhartt Force Grid Head Band.7 oz SWITCHING GEAR Quantity Size Color (circle one) Description Weight HRC EMCEAPST Amaril Easy-On Twill Jacket EMCEAPSB Amaril Easy-On Twill Bib NSAKITHP White Helmet/ Balaclava NSA Head Protection Switching Gear Jacket: Style: Switching Gear Bib: Style: Switching Gear Helmet: Style: Color Color Color MULTIPLE OPTIONS MULTIPLE OPTIONS MULTIPLE OPTIONS Slotted Universal SEE CATALOG SEE CATALOG SEE CATALOG KLL6NV Bulwark Concealed Lab Coat NON-FR Quantity Size Color (circle one) Description Weight HRC K6 Army Green Dark Brown Dark Red Carhartt 00% Cotton Long-Sleeve NON- Hunter Green Carhartt Brown Royal FR K87 Army Green Dark Brown Dark Red Carhartt 00% Cotton Short-Sleeve NON- Hunter Green Desert Royal Orange White FR Bayside 00% Cotton Short-Sleeve NON- FR...700 Royal + + + EMAIL ORDERS TO: cartsales@amaril.com Fall 0 - Rev...0 Fax:.866.87.5 Page 6 of 7
COVERALL CONVERSION CHART Note: This chart is a guideline and not exact to every body type. SHIRT SIZE: PANT INSEAM: CHEST CONVERSION (ESTIMATE): SMALL 0, pant inseam 8R SMALL 0, pant inseam 0R SMALL TALL, 6 pant inseam 0T MEDIUM 0, pant inseam R MEDIUM TALL, 6 pant inseam T MEDIUM 0, pant inseam R MEDIUM TALL, 6 pant inseam T LARGE 0, pant inseam 6R LARGE TALL, 6 pant inseam 6T LARGE 0, pant inseam 8R LARGE TALL, 6 pant inseam 8T XL 0, pant inseam 50R XL TALL, 6 pant inseam 50T XL 0, pant inseam 5R XL TALL, 6 pant inseam 5T XL 0, pant inseam 5R XL TALL, 6 pant inseam 5T XL 0, pant inseam 56R XL TALL, 6 pant inseam 56T XL 0, pant inseam 58R XL TALL, 6 pant inseam 58T XL 0, pant inseam 60R XL TALL, 6 pant inseam 60T EMAIL ORDERS TO: cartsales@amaril.com Fall 0 - Rev...0 Fax:.866.87.5 Page 7 of 7