Scott LENSES Page 2
HIGH VOLTAGE REPLACEMENT LENS
SINGLE LENSES
FOR H.V. VISION SYSTEM (PRE DRILLED)
FITS H.V. AND VOLTAGE X
ITEM #
QTY
PRICE TOTAL
FITS H.V. AND VOLTAGE X
ITEM #
QTY
PRICE TOTAL
CLEAR
090186 01
3.00
CLEAR PRE-DRILLED
090403 01
3.00
CLEAR ANTI-FOG
090763 01
4.00
AMP YELLOW PRE-DRILLED
090405 01
3.50
AMPLIFER BLUE
090187 01
3.50
AMP. BLUE PRE-DRIL.
090407 01
3.50
AMP YELLOW
090188 01
3.50
AMP ROSE PRE-DRILLED
090764 01
3.50
AMP ROSE
090572 01
3.50
CLEAR ANTI-STICK
090409 01
4.00
LIGHT SENSITIVE "LS"/"AFC"
090777 01
7.50
THERMAL PRE-DRILL. CLR
090404 01
9.00
SILVER CHROME
090785 01
16.00
THEM. PRE-DRILL. AMP YEL
090406 01
10.00
BLUE CHROME
090786 01
16.00
THERM. PRE-DRILL AMP BLU
090408 01
10.00
GREEN CHROME
090787 01
16.00
THERM. PREDRILL AMP ROS
090574 01
10.00
THERM. CLR. ANTI-STICK
090410 01
10.00
THERMAL FOR HI VOLTAGE
FITS H.V. AND VOLTAGE X
ITEM #
QTY
PRICE TOTAL
CLEAR THERMAL
090400 01
8.00
AMP BLUE THERMAL
090401 01
10.00
AMP YELLOW THERMAL
090402 01
10.00
AMP ROSE THERMAL
090573 01
10.00
VOLTAGE "R" REPLACEMENT LENS
SINGLE
THERMAL
FITS VOLTAGE "R"
ITEM #
QTY
PRICE TOTAL
FITS VOLTAGE "R"
ITEM #
QTY
PRICE TOTAL
CLEAR
090343 01
3.00
CLEAR
090347 01
6.00
AMP BLUE
090380 01
3.00
AMP BLUE
090350 01
8.00
AMP YELLOW
090379 01
3.00
AMP YELLOW
090348 01
8.00
STICKERS
BANNERS
MODEL
ITEM #
QTY
PRICE TOTAL
MODEL
ITEM #
QTY
PRICE TOTAL
36" DIECUT STICKER , BLK OR WHT
090470 0
4.00
SCOTT BANNER LRG
010075 0
9.00
18" DIECUT STICKER , BLK OR WHT
090195 0
3.00
SCOTT BANNER MED.
010268 0
6.00
STICKER SHEET
090196 0
5.00
SCOTT BANNER SMALL
010153 0
2.00
SCOTT HANG TAG STICKER
080065 0
11.00
SCOTT VERT. BANNER
090472 0
9.00
PAYMENT ACCEPTED IN THE FORM OF A CHECK, MONEY ORDER, OR MASTERCARD/VISA
TOTAL AMOUNT ON ORDER FORM
SHIPPING AND HANDLING
$
TOTAL AMOUNT DUE
8.00
Credit card information:
Authorized CC Holders Name:
(Print)
(Signature)
(CIRCLE ONE)
Mastercard/ Visa /American Express
CC EXP. DATE
