PICTOGRAMS:

LEGEND:(Please print clearly) –� Brady to arrange� Layout exactly as shown

* Other materials ad sizes also available - Call for details.

HEADER/COLOUR (Check one of the options below)

� �� �

� � Black on White

� Black on Orange

� Black on Yellow

� Green on White

� Red on White

� Blue on White

� Magenta on Yellow

QUANTITY:No minimum order.Orders for 50+ signs arewelcome, call for delivery andadditional volume discounts.

MATERIALS* (Check appropriate material)

� Self-Sticking (B-302) � Plastic (B-401) � Aluminum (B-555) � Fiberglass (B-140)

SIZE (Check appropriate size)

� 7 x 10 � 10 x 14 � 14 x 20

Pricing for Self-sticking:Size Qty 1 Qty 2-3 Qty 4-9 Qty 10-24 Qty 25-497" x 10" $44.83 $29.30 $19.07 $11.61 $9.1210" x 14" $46.43 $34.07 $22.42 $14.81 $12.9514" x 20" $56.04 $44.83 $35.23 $28.82 $23.56

Pricing for Plastic Signs:Size Qty 1 Qty 2-3 Qty 4-9 Qty 10-24 Qty 25-497" x 10" $46.48 $28.71 $18.70 $11.90 $8.9510" x 14" $51.71 $33.38 $23.37 $16.57 $13.3614" x 20" $62.44 $54.84 $39.77 $29.58 $24.26

(See samples at right.Choose up to 2 pictos)

1

2

4

6

5

3

Fill in colourslisted to right

NO HEADER�

PICTOGRAM OFFERINGHere is a sample of our most popular pictos…

3. Head Protection 5. Respirator 6. Confined Space 7. Lockout/Tagout

8. Pinch 13. Flammable 2 14. Stop 15. Unauthorized

16. Keep Out 17. No Smoking 18. Fire Extinguisher 19. Eyewash

32. Boots 38. Dust Mask 39. Ear Protection 2 41. Electrical 1

54. Face Shield 56. Gloves 58. Goggles 2 101. Radiation

PPRRIICCIINNGG::*Prices based on total quantity ordered. Prices shown are for each sign.

Distributor InformationDistributor: Contact:

Account #: Fax #: Phone #:

General Information - Fax completed form to your local distributor

Company Name: Name:

Address 1: Phone #:

Address 2: Fax #:

City: Prov.: Postal Code: Email:

� Order � Quote � Artwork Attached Ship Via: ––––––––––––– P.O. # or Request # : ––––––––––––––––––––––––––

Pricing for Aluminum Signs:Size Qty 1 Qty 2-3 Qty 4-9 Qty 10-24 Qty 25-497" x 10" $47.11 $31.68 $23.08 $17.22 $13.99 10" x 14" $55.57 $41.07 $32.47 $26.61 $23.5014" x 20" $90.77 $69.87 $54.44 $48.18 $43.14

Pricing for Fiberglass:Size Qty 1 Qty 2-3 Qty 4-9 Qty 10-24 Qty 25-497" x 10" $54.55 $35.00 $25.50 $19.04 $14.84 10" x 14" $61.39 $45.39 $32.62 $29.40 $24.8314" x 20" $100.32 $68.21 $62.94 $46.18 $41.98

*applicable taxes extra

CUSTOM SIGN ORDER FORM CHECK OUT OUR NEW LOWER CUSTOMSIGN PRICING!www.bradycanada.caThis custom Sign Express Order Form is for the convenience of you and your authorized Brady Distributor. To help expedite your order, simply fill out the order form. Use a separate form to order signs that require different legends, sizes, headers or materials. Fax completed order form to your localBrady distributor. If you have any questions please contact your distributor or feel free to call ustoll free at 1-800-263-6179.