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(626) 253-6125

Walker Fire & Safety Solutions
Order Form
* indicates a required field

* Name

* Address

* City,State,Zip

* E-mail address                 Make sure to include E-mail address!


Contact Name (If company or business name above):


 You may now  pay by check, money order, or Credit Card using PAYPAL..
  If you do not have a PayPal account, you can still choose PayPal. You will then have the
option of creating an account or just making a one time payment.
* Pay by If you elect to use PAYPAL, we will generate a PayPal invoice
and email that to you. It will have a link to follow to pay with. If you do not have an account with
them, you may sign up with that link also.

Contact phone number (NICE, but not required, will contact by email if added info needed.)
Required only if we have questions and you want it fast.  

Who were you referred by? Put email address or URL here if not already filled in.


To view specifics on each item, click on highlighted word. A new window will open up. Close the window when done examining product. You should still be here.

Quanity Product Web Price

FlameTard Extinguishing Towel 911$19.99

32 Oz. FlameTard for Fabric w/spray applicator. $19.99

1 Gal. FlameTard for Fabric no/spray applicator. $39.99

1 Gal. FlameTard for Wood Class "A"  no/spray applicatorcall

32 Oz. FlameTard for Wood Class 'B'  w/spray applicator.call

1 Gal. FlameTard for Wood Class 'B' no/spray applicator. call

32 Oz. FlameTard Christmas Tree Spray w/spray applicator. call

1 Gal. FlameTard Christmas Tree Spray no/spray applicator. call

FlameTard Barrier Blanket Lite   Small sizecall

FlameTard Barrier Blanket Lite   Medium sizecall

FlameTard Barrier Blanket Lite   Large sizecall

Note:    Shipping is calculated upon receipt of order. We will Notify you via email of the total due.

Ship by please.   

USPS is United States Postal Service (can ship any weekday)
 DHL (all services) ships on Mondays and Thursdays UNLESS you agree to pay additional pickup fees.

If other, please specify:

(Enter specific directions if your choice not shown, no entry means we will choose best way.)

Additional message to us. If you've talked with us and we agreed on something, please remind us here.

Larger quantities are available, (5 to 55 gal containers) and quantity discounts can be obtained. Please email Quote@walkerfiresafety.com for quote and delivery time on large orders.


We will email you a acknowledgement with an exact amount for you to make check out for, including shipping and handling. Review the acknowledgement information and mail the check immediately so that products can be shipped in a timely fashion. The receipt of payment will be our confirmation to ship!

No Product will ship if payment does not arrive!!

Only Submit once, Please! (Unless you want multiple product shipped!)

To Order by phone call (626) 253-6125. Leave a message with the machine, if a human doesn't answer.. We will get back to you!

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revised 06/23/2010 06:08:08 PM -0500 jim@hilton2000.com

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