///Barri-lite barricades
Printable Order Form
www.BarriLiteBarricades.com

Name:__________________________________________________ Address:________________________________________________ City:_______________________________ State:________________ Zip:_________________ Phone:(_____)____________________ E-mail:_______________________________________

Sale List and Pricing:

Individual Panels
Available in 3 rail, 4 rail (max. 6" spacing between rails), 4 rail (max. 9" spacing between rails)
and 5 rail. Also available with the following color options: White/Yellow/Black, White/Red,
White/Reflective, and Special Colors (your choice).

3 Rail Panels

3 Rail Panel, White / White (1 panel) SI-200-3...................................Retail Price $129.95
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

3 Rail Panel, White / Yellow / Black (1 panel) SI-202-3...................Retail Price $139.95
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

3 Rail Panel, White / Red (1 panel) SI-204-3.....................................Retail Price $139.95
Shipping (per panel)........................................................................................................$14.95
How many would you like to order?_________

3 Rail Panel, White / Reflective (1 panel) SI-206-3...........................Retail Price $146.95
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

3 Rail Panel, Special Colors (1 panel) SI-290...................................Retail Price $139.95
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________   Color?__________

3 Rail Panel, Special Reflective Colors (1 panel) SI-299...............Retail Price $146.95
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________   Color?__________
____________________________________________________________________

4 Rail Panels with max. 6" spacing between rails

4 Rail Panel (max. 6"), White / White (1 panel) SI-200-4.................Retail Price $134.81
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

4 Rail Panel (max. 6"), White / Yellow / Black (1 panel) SI-202-4..Retail Price $155.71
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

4 Rail Panel (max. 6"), White / Red (1 panel) SI-204-4...................Retail Price $155.71
Shipping (per panel)........................................................................................................$14.95
How many would you like to order?_________

4 Rail Panel (max. 6"), White / Reflective (1 panel) SI-206-4.........Retail Price $164.00
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

4 Rail Panel (max. 6"), Special Colors (1 panel) SI-290-4..............Retail Price $155.71
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________   Color?__________

4 Rail Panel (max. 6"), Special Reflective Colors SI-299-4..........Retail Price $164.00
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________   Color?__________
____________________________________________________________________

4 Rail Panels with max. 9" spacing between rails

4 Rail Panel (max. 6"), White / White (1 panel) SI-200-4W.............Retail Price $139.35
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

4 Rail Panel (max. 9"), White / Yellow / Black SI-202-4W..............Retail Price $158.15
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

4 Rail Panel (max. 9"), White / Red (1 panel) SI-204-4W...............Retail Price $158.15
Shipping (per panel)........................................................................................................$14.95
How many would you like to order?_________

4 Rail Panel (max. 9"), White / Reflective (1 panel) SI-206-4W.....Retail Price $166.43
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

4 Rail Panel (max. 9"), Special Colors (1 panel) SI-290-4W..........Retail Price $158.15
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________   Color?__________

4 Rail Panel (max. 9"), Special Reflective Colors SI-299-4W......Retail Price $166.43
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________   Color?__________
____________________________________________________________________

5 Rail Panels

5 Rail Panel, White / White (1 panel) SI-200-5...................................Retail Price $152.35
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

5 Rail Panel, White / Yellow / Black (1 panel) SI-202-5...................Retail Price $171.15
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

5 Rail Panel, White / Red (1 panel) SI-204-5.....................................Retail Price $171.15
Shipping (per panel)........................................................................................................$14.95
How many would you like to order?_________

5 Rail Panel, White / Reflective (1 panel) SI-206-5...........................Retail Price $179.43
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________

5 Rail Panel, Special Colors (1 panel) SI-290-5...............................Retail Price $171.15
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________   Color?__________

5 Rail Panel, Special Reflective Colors SI-299-5............................Retail Price $179.43
Shipping (per panel).........................................................................................................$14.95
How many would you like to order?_________   Color?__________


Sign Holder

Clip-On Sign Holder SI-300.....................................................................Retail Price $8.95
Shipping..............................................................................................................................$4.46
How many would you like to order?_________

If ordering from Indiana:,
Please include 6% Sales Tax on products only, do not include shipping costs.........Tax $_________

Total of this order........................................................................................................Total $_________

Send this form and Check or Money Order to: Spur Innovation Incorporated Barri-lite barricades 2998 S. Vickery Road Gosport, IN 47433

Contact Info: Fax: 1-765-537-2591 Phone 1-765-537-3143 or 1-888-337-SPUR E-mail: spur@hughes.net

**Manufacturer's Warranty** Our Barricades come with a 1 year material and workmanship warranty.

**Delivery Information** Please allow 3 - 7 days for delivery. If paying by check, shipping will occur as soon as check clears.