Order Form

...For Your Industrial Safety Needs...

Welcome to Sequoia Safety Supply Company 's New Online Store. For current pricing or a quote on a safety item not shown, please Contact Us directly (by phone 415/382-6694, toll free 800/399-3995 or by email). If you know what you want to order, simply fill out the order form below and submit it online (or if you prefer, print your order and fax it to us at 415/382-7784.) Existing Customers, please sign in here. Thanks!

Hand Protection Foot & Leg Protection

Face & Eye Protection Head Protection

Hearing Protection Protective Clothing

Cleanroom Products Ergonomics

Fall Protection Confined Space

Gas Detection Respiratory Protection

Other Safety Products - Industrial First Aid; Signs, Traffic & Lights; Gas Cans, Haz-Mat Response, etc.

Order Information

Item	Product P/N	Description	Mfr/Supplier	Quantity	Price	Unit
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Customer "Bill to" Information

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Purchase Order #
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Expiration Date:	Month Year
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Customer "Ship to" Information (if different from above)

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No Credit Card information is required over this Unsecured page. All orders will be confirmed by email or phone. $100 minimum order amount. All orders subject to CA Sales Tax and Shipping charges. Thanks for Your Business!

Return Policy: A Return Authorization Number (RMA#) is Required For All Returns. Authorized Returns will be accepted for credit, subject to a twenty (20%) restocking charge. The customer is responsible for all shipping charges, plus any additional charges imposed by the manufacturer for non-stock items. Custom merchandise may not be returned.

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Order Information

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Customer "Bill to" Information

Customer "Ship to" Information (if different from above)

Last modified: December 07, 2002