Pro Vest® Safety Products The Action Sports Safety Vest
Mail-in Order Form
Please fill out and mail to:		 PRO VEST INC.
P.O. Box 93
Lake Bluff, IL 60044

IMPORTANT NOTE: Please note that if we are out of stock of the model/size you order, we will tear up your check upon receiving your order and send you an email indicating that we have done so and letting you know when the model/size you wanted to order will be in stock. As such, please remember to include your email address on the order form. Thank you.

 Customer Information
First Name *
 Last Name *
Street Address *
City *
 State *
 ZIP *
Day Phone *
 Fax Phone
Email *


 Payment Information
Payment Type* Credit Card Personal Check Cashier's Check

If Credit Card
Credit Card Type * Name on Card *
Card Number * Exp Date * / (mm/yy)

 Pricing, Shipping and Tax Information
Pricing Information
Safety Vest - Half
Size Price
Extra Small $29.99
Small $32.49
Medium $34.99
Large $37.49
X-Large $39.99
Safety Vest - Full
Size Price
Extra Small $37.49
Small $39.99
Medium $42.49
Lacrosse Shoulder Pads
Size Price
For Vest Size XS/S/M $19.99
For Vest Size L/XL $19.99
Shipping & Handling
Please refer to the Shipping & Handling rate tables below
Tax Information
State Rate
Arizona 0.081
Illinois 0.0625
Michigan 0.06
 Item Information
 Product Size Quantity Unit Price Total
Shipping and Handling Total  
Order Total  

 

Shipping & Handling Rates

Group A States
States: AZ CA CO NM NV UT
Quantity Shipping & Handling
1 12.25
2 12.25
3 16.5
4 17
5 19
6 21
7 23
8 25
9 27
10 or more 3.00/unit

 
Group B States
States: AL AR GA IA ID IL IN KS KY LA MI MN MO MS MT NC ND NE OH OK OR SC SD TN TX WA WI WY
Quantity Shipping & Handling
1 14.25
2 14.25
3 18.5
4 19
5 21.50
6 24
7 26.5
8 29
9 31.50
10 or more 3.50/unit

 
Group C States
States: CT DC DE FL MA ME MD NH NJ NY PA RI VA VT WV
Quantity Shipping & Handling
1 15.25
2 15.25
3 20.5
4 21
5 24
6 27
7 30
8 33
9 36
10 or more 4.00/unit

 
Group D States
States: AK HI
Quantity Shipping & Handling
1 23.25
2 23.25
3 28.5
4 29
5 32
6 35
7 38
8 41
9 45
10 or more 5.00/unit