ORDER FORM

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Production Supply Order Form
Job Name + Number:
Company Name:
Contact Name:
Contact Position:
Email
Phone:
Truck Driver:
Truck Driver Phone:
Pickup Date:
Return Date:
PO#:
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Number of Days (this will be hidden)
This field is hidden when viewing the form
Number of Billable Days
crafty stuff
Cooler, Small Quantity
Price: $ 5.00
Cooler, Medium Quantity
Price: $ 6.00
Cooler, Large Quantity
Price: $ 7.00
Water Cooler 5 Gal (Gatorade Style) Quantity
Price: $ 8.00
Hot / Cold Water Cooler Quantity
Price: $ 20.00
5 Gal. Water Refill Quantity
Price: $ 6.00
dollies + carts
Dolly, 2 Wheel Quantity
Price: $ 5.00
Dolly, Furniture Quantity
Price: $ 6.00
Dolly, Magliner Sr. Quantity
Price: $ 20.00
Dolly, Magliner Sr. w/ Shelf Quantity
Price: $ 25.00
climate control
Fan (Box) Quantity
Price: $ 6.00
Umbrella Quantity
Price: $ 5.00
Heater (Dish) Quantity
Price: $ 10.00
electronics + comms
iPhone (Verizon) Quantity
Price: $ 100.00
iPhone (ATT) Quantity
Price: $ 100.00
Powered Speaker Quantity
Price: $ 85.00
Bullhorn Quantity
Price: $ 15.00
WiFi Wireless Router (Verizon) Quantity
Price: $ 125.00
WiFi Wireless Router (ATT) Quantity
Price: $ 125.00
MiFi Personal Hot Spot Quantity
Price: $ 75.00
Power Inverter Quantity
Price: $ 18.00
Walkies, cp200d Quantity
Price: $ 10.00
Hand Mics Quantity
Price: $ 3.00
Headsets Quantity
Price: $ 3.00
Base Station Quantity
Price: $ 45.00
Long Range Repeater Quantity
Price: $ 100.00
Satellite Phone Quantity
Price: $ 100.00
tools
Broom Quantity
Price: $ 2.00
Broom, Push Quantity
Price: $ 4.00
Dust Mop Quantity
Price: $ 2.00
Dust Pan Quantity
Price: $ 2.00
Butt Can Quantity
Price: $ 3.00
Garden Hose Quantity
Price: $ 4.00
Hudson Sprayer Quantity
Price: $ 5.00
Mop + Bucket Quantity
Price: $ 8.00
Rake Quantity
Price: $ 3.00
Shop Vac Quantity
Price: $ 15.00
Shovel Quantity
Price: $ 3.00
Trash Can Quantity
Price: $ 3.00
Trash Can, Recycle Quantity
Price: $ 3.00
Trash Pincher Quantity
Price: $ 2.00
Ladder, Step 6ft Quantity
Price: $ 8.00
Ladder, Step 12ft Quantity
Price: $ 16.00
Pressure Washer Quantity
Price: $ 45.00
vanities
Iron Quantity
Price: $ 7.00
Ironing Board Quantity
Price: $ 10.00
Makeup Mirror Quantity
Price: $ 30.00
Standing Mirror, 6ft Quantity
Price: $ 13.00
Changing Tent Quantity
Price: $ 8.00
Wardrobe Rack Quantity
Price: $ 10.00
Steamer Quantity
Price: $ 15.00
Box of 100 Combo Hangers Quantity
Price: $ 125.00
expendables
Trash Liner - 1 Box Quantity
Price: $ 25.00
Caution Tape Quantity
Price: $ 15.00
Blue Painter Tape Quantity
Price: $ 10.00
Gaffers Tape Quantity
Price: $ 25.00
Booties 50 Pair Quantity
Price: $ 25.00
electricity
Extension Cord, 25’ Quantity
Price: $ 5.00
Extension Cord, 50’ Quantity
Price: $ 6.00
Extension Cord, 100’ Quantity
Price: $ 8.00
Generator, 2000w Quantity
Price: $ 60.00
Generator, 3000w Quantity
Price: $ 80.00
Generator 6500w Quantity
Price: $ 200.00
Power Strips Quantity
Price: $ 2.00
Worklight Quantity
Price: $ 25.00
Gas Can Quantity
Price: $ 5.00
tables + chairs
Director Chairs, Tall Quantity
Price: $ 5.00
Director Chairs, Short Quantity
Price: $ 4.00
Table, 6ft Quantity
Price: $ 6.00
Folding Chair Quantity
Price: $ 2.00
Folding Chair Cart Quantity
Price: $ 12.00
safety + ITC
CA OSHA Sign Quantity
Price: $ 15.00
Cone, Delineator Quantity
Price: $ 2.00
Cone, 18” Quantity
Price: $ 2.00
Cone, 28” Quantity
Price: $ 4.00
Fire Extinguisher, 20 lbs. Quantity
Price: $ 10.00
First Aid Kit Quantity
Price: $ 25.00
Hard Hat Quantity
Price: $ 2.00
Sign, Handheld Stop Quantity
Price: $ 5.00
Safety Vest Quantity
Price: $ 5.00
Safety Goggles Quantity
Price: $ 1.00
truck stuff
Wall Rack Quantity
Price: $ 2.00
Ratchet Straps Quantity
Price: $ 2.00
Bungee Cord Quantity
Price: $ 1.00
Furni Pads Quantity
Price: $ 2.00
tent stuff
Pop Up, 10x10 Quantity
Price: $ 30.00
Pop Up, 10x15 Quantity
Price: $ 40.00
Side Wall, 10x10 Quantity
Price: $ 6.00
Side Wall, 10x15 Quantity
Price: $ 6.00
Sandbag Quantity
Price: $ 5.00
RogueShield safe set
Hand Sanitizer Stands (touch-less) Quantity
Price: $ 25.00
Table Top Hand Sanitizer Dispensers Quantity
Price: $ 3.00
Safe Set CDC Signage Quantity
Price: $ 45.00
Electrostatic Disenfecting Sprayer Quantity
Price: $ 95.00
Hand Washing Sinks Quantity
Price: $ 200.00
Safe-Sealed PPE Kits Quantity
Price: $ 15.00
Face Shields Quantity
Price: $ 8.00
HEPA Air Filter Scrubbers - 500 sq .ft. Quantity
Price: $ 95.00
Germicidal UV Lamp, Handheld Quantity
Price: $ 10.00
Isolation Gown Quantity
Price: $ 5.00
Plexi Dividers, Table Top Quantity
Price: $ 10.00
Subtotal
Price: $ 0.00
Estimated Total
$ 0.00

ORDER FORM

Production Supply Order Form

crafty stuff

dollies + carts

climate control

electronics + comms

tools

vanities

expendables

electricity

tables + chairs

safety + ITC

truck stuff

tent stuff

RogueShield safe set