Pro-Escort PT Order Form

Pro-Escort PT-III for Pickups

Order Form

Please provide the following contact information:

Name
Company
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

BILLING
Purchase Order #
SHIPPING ADDRESS (if different)

Requires a business address for delivery without an extra charge. Otherwise the rack would have to be picked up at their nearest terminal.
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Choose make of truck:
Choose year:
Model:
Select box style:
Widebox
Stepside

Quantity
Light Mounts

Lightbar mount bolts on. Beacon mounts are
welded on.
Lightbar $629
Beacons $629
Lightbar & Beacons   $679
Mounting Plate Style

How it attaches to bed rail
Standard (mounting angles downward)
Bed Cover (mounting angles upward)
Toolbox. Style   *Width of toolbox
Sign Options
Standard (Aluminum w/baked yellow finish)
DGRR (Diamond-Grade retro-reflective)

Choose one of the following supplied light options:
None
Lightbar ECCO Series 60 48" ADD:$395 (sent in box)
Lightbar VOLTEX 49" LED ADD:$659 (sent in box)
Side Beacons ECCO 5816A installed. ADD: $129
Side Beacons LED installed. ADD: $410
Includes:
Main frame BLACK TEXTURED POWDER COAT
Aluminum OVERSIZE LOAD sign on steel frame.
Spring-loaded latch mechanism.
4 Heavy ORANGE MESH Flags with fiberglass staffs.

Box width [A]: Inside to inside at front.

Inches
Has drop-in bed liner
Has Bed Caps

Height from top of box to top of cab [B]. Measure at center of box.

Inches
Best time to contact me
Comments

Shipping is by LTL truck carrier.
We use ESTES EXPRESS. Average rates between $150 and $275..
Shipping will be quoted to zip code of address you submitted.
Can be shipped by other carrier of your choice and billed third party to you.

Payment by Check available by phone, FAX or Online.

Check by Phone 503-665-4444
Check by FAX 503-467-5546
Online Check Form
Preaddressed Envelope

Barney's Pilot Car Service 2233 NE 244th Ave STE E-4
Wood Village, OR 97060
Cell 503-665-4444   FAX 503-467-5546
barneyspilotcar@gmail.com    http://barneyspilotcar.com
http://pilotpole.com     http://proescortsignracks.com

*Name*
*Company*
*Street Address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal Code*
*Country*
*Work Phone*
*Home Phone*
*FAX*
*E-mail*

	SHIPPING ADDRESS (if different)
	Requires a business address for delivery without an extra charge. Otherwise the rack would have to be picked up at their nearest terminal.
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Choose make of truck:
Choose year:
Model:
Select box style:	Widebox
Select box style:	Stepside

Light Mounts Lightbar mount bolts on. Beacon mounts are welded on.	Lightbar $629
	Beacons $629
	Lightbar & Beacons $679
Mounting Plate Style How it attaches to bed rail	Standard (mounting angles downward)
	Bed Cover (mounting angles upward)
	Toolbox. Style *Width of toolbox
Sign Options	Standard (Aluminum w/baked yellow finish)
	DGRR (Diamond-Grade retro-reflective)

Choose one of the following supplied light options: None Lightbar ECCO Series 60 48" ADD:$395 (sent in box) Lightbar VOLTEX 49" LED ADD:$659 (sent in box) Side Beacons ECCO 5816A installed. ADD: $129 Side Beacons LED installed. ADD: $410
Includes: Main frame BLACK TEXTURED POWDER COAT Aluminum OVERSIZE LOAD sign on steel frame. Spring-loaded latch mechanism. 4 Heavy ORANGE MESH Flags with fiberglass staffs.