Dealer Graphics – Promotional Products - GoHeil!

1. How to place an order:
• Fill out this order form (all 4 pages) and fax it to TKO Graphix at 317-273-2772
2
I AM A DISTRIBUTOR I AM A DEALER
- -
4. Vehicle Wraps - Van & Straight Truck
If Dealer, you must submit credit card information on the last page.
Dist. P.O. # (See Last Page For Credit Card Info)
3. Company Name to Appear on Vehicle and/or Yard Sign:
Company Name (line 2):
Dealer License Number (If required by state of residence law):
REGULAR EXTENDED CREW CAB REGULAR EXTENDED
CAB CAB
BED LENGTH SIDE WINDOWS YES NO
5' BED 6' BED 7' BED 8' BED REAR WINDOWS YES
Order Number Description Unit Cost Quantity Total
HV09-06 Winter Wrap $932.80 $
HV09-07 Equipment Wrap $932.80 $
HV09-08 Environmental Wrap $932.80 $
HV09-09 Straight Truck Wrap - fits 22' to 26' $1,961.00 $
5. Complete Heil Vehicle Graphic Packages Custom logo work is available, and will need to be quoted
Order Number Description Unit Cost Quantity Total
HV08-01 Van (without side windows) set $240.78 $
HV08-01B Van set without dealer information $168.70 $
HV08-02 Pick Up Truck set $111.24 $
HV09-05 Box Truck set - fits 10' to 16' $240.78 $
6. Individual Heil Vehicle Decals
Order Number Description Unit Cost Quantity Total
HV003I 8" x 24" - Heil Logo $9.54 $
HV002I 11.6" x 32.5" - Heil Logo $14.58 $
HV004I 16" x 48" - Heil Logo $17.76 $
HV0071 21" x 23" - "Depend on Heil" Dog Logo $26.08 $
HV10-02 21.75" x 12" - Heil Family Decal $13.87 $
ICP08-VSID 24" x 65" - Van Side Dealer Info.* $29.15 $
ICP08-VSW 16" x 45" - Van Window Side Dealer Info.* $21.94 $
ICP08-VPD 11" x 30" - Pick Up Door Dealer Info.* $11.93 $
ICP08-PR
Vehicle Graphics & Identification
Fulfillment Program
Order Form - Page 1
Ordered by/Bill to: Ship to: _______Same as Billing
Name Name
Address Address
Email
Phone Phone
Dist. # Contact
Telephone Number Please Specify Color of Dealer Information
8.5" x 23" - Pick Up Tailgate Dealer Info.* $10.28 $
ICP07-02 8" Diameter Environmentally Sound Refrigerant $11.50 $
Black
Email
P.O. Box P.O. Box
City, State, Zip City, State, Zip
Vehicle Information
PICK UP VAN
MAKE MODEL YEAR VEHICLE COLOR MAKE MODEL
White *Other: (specify)__________________
*For colors, other than black or white - add 10% to the total cost of the
vehicle package. • Add 30% for lettering not ordered with a package. •Add
an additional $10.00 per color for orders with more than 1 color.
HV08-01W Van (with side windows) set $217.69 $
HV005I 22" x 64" - Heil Logo $26.08 $
Subtotal $
Please complete all forms, plus payment info (page 4), and fax to TKO Graphix: 317-273-2772
For a copy of this order form, visit www.goheil.com
Updated March 2012
YEAR VEHICLE COLOR
NO