Cordova Safety

Call Us: (+1) 800-458-8763
4025 Viscount Ave.,
Memphis, TN  38118
Website:  www.cordovasafety.com
National Sales Manager: Cecil Smith
Ph: 901-458-5030
Email: cecil.smith@cordovaisc.com
Customer Service: kim.nickles@cordovaisc.com
FREIGHT TERMS:  Prepaid on $150 within USA
REGULAR ORDER TERMS: Dealer Receives Net 45 Days
SHOW ORDER TERMS: Dealer Receives  Net 60 Days
BUYING WINDOW: EFFECTIVE 1/03/2024 to 06/30/2024

Retail Consumer Order Form

Recipient

Order Date
Order Total
P.O#
DEALER P.O
Amount Due $00
Bill To
Address
City State Zip
Phone/Fax/Email
Contact
Ship To
Store Name
Address
City State Zip
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Contact
Promo Pro Qty Item Item Description & Size/color Show $ Unit #Unit U M Regular Cost Saving Show Cost Extended Cost
Promo 1 0 3410L String Knit- Standard Weight, Natural Color, Bulk Wrap 12-packs, No Hang Tags Size: Large $$ 0.23 684 PR $ 196.65 20% $ 157.32 $00
Promo 2 0 14021 Brown Jersey - Midweight 8oz Jersey, Size:Large $$ 0.45 348 PR $ 208.80 25% $ 156.60 $00
Promo 3 0 14001 Brown Jersey - Heavyweight 9oz Jersey, Size: Large $$ 0.48 300 PR $ 189.00 24% $ 144.00 $00
Promo 4 0 38551 String Knit Glove 2 Sided Dots, Size: Large $& 0.23 276 PR $ 189.75 20% $ 151.80 $.00
Promo 5 0 68901 Black Cor Touch Smooth Nitrle Coated, Size: Large $$ 0.78 204 PR $ 198.90 20% $ 159.12 $00
Promo 6 0 38981 Latex Coated Palm Blue Crinkle, Size: Large $$ 1.05 96 PR $ 189.00 20% $ 151.20 $00
Promo 6 0 38984 Latex Coated Palm Blue Crinkle, Size: Large $$ 1.05 48 PR $ 189.00 20% $ 151.20 $00
Promo 7 0 G39911 Hi Vis Lime - W/ Latex Palm, Size: Large $$ 1.00 96 PR $ 195.00 21% $ 156.00 $00
Promo 7 0 G38801 Hi Vis Orange - W/ Latex Palm, Size: Large $$ 1.00 60 PR $ 195.00 21% $ 156.00 $00
Promo 8 0 72101 Leather Palm Rubber Cuff, Size: Large $$ 1.50 108 PR $ 202.50 20% $ 162.00 $00
Promo 9 0 72201 Split Leather Palm Rubber Cuff, Size: Large $$ 1.85 84 PR $ 194.25 20% $ 155.40 $00
Promo 10 0 73511 Leather Double Palm, Rubber Cuff, Size: Large $$ 2.69 36 PR $ 198.25 18% $ 161.40 $00
Promo 10 0 7261-XL-TAG Leather Double Palm, Rubber Cuff, Size: X-Large $$ 2.69 24 PR $ 198.25 18% $ 161.40 $00
Promo 11 0 82202 Cowhide Driver Standard Grain, Size: Medium $$ 3.50 12 PR $ 210.00 20% $ 168.00 $00
Promo 11 0 82201 Cowhide Driver Standard Grain, Size: Large $$ 3.50 24 PR $ 210.00 20% $ 168.00 $00
Promo 11 0 82204 Cowhide Driver Standard Grain, Size: X-Large $$ 3.50 12 PR $ 210.00 20% $ 168.00 $00
Promo 12 0 99401 Hi-Performance Synthetic Leather Padded Palm,Hi-Vis Lime Size: Large $$ 7.50 12 PR $ 187.00 20% $ 150.00 $00
Promo 12 0 99404 Hi-Performance Synthetic Leather Padded Palm,Hi-Vis Lime Size: X-Large $$ 7.50 8 PR $ 187.00 20% $ 150.00 $00
Promo 13 0 39981 "Cold Snap" Insulated/Waterproof Latex, Hi-Vis Orange, Size: Large $$ 3.45 48 PR $ 207.00 21% $ 165.00 $00
Promo 14 0 SP7734L Mechanics Hi-Impact Hand Protection, Orange, Size: Large $$ 4.85 20 PR $ 194.00 20% $ 155.20 $00
Promo 14 0 SP7734XL Mechanics Hi-Impact Hand Protection, Orange, Size: X-Large $$ 4.85 20 PR $ 194.00 20% $ 155.20 $00
Promo 15 0 99302 Hi-Performance Synthetic Leather Silicone Palm, Size: Medium $$ 7.50 4 PR $ 187.50 20% $ 150.00 $00
Promo 15 0 99301 Hi-Performance Synthetic Leather Silicone Palm, Size: Large $$ 7.50 12 PR $ 187.50 20% $ 150.00 $00
Promo 15 0 99304 Hi-Performance Synthetic Leather Silicone Palm, Size: X-Large $$ 7.50 4 PR $ 187.50 20% $ 150.00 $00
Promo 16 0 FP1000RL Fishing Glove Fingerless Extended Wrist Leather Palm, Size: Large $$ 8.00 12 PR $ 204.45 20% $ 163.56 $00
Promo 16 0 FP2000BL Fishing Glove Fingerless Stretchable Silicone Grips , Size: Large $$ 9.00 6 PR $ 204.45 20% $ 163.56 $00
Promo 16 0 39001 Fishing Glove W/double Sided Criss-Cross PVC Coating, Size: Medium $$ 1.13 12 PR $ 204.45 20% $ 163.56 $00
Promo 17 0 BL68232 Ladies Garden - Nitrile Coated Pink -Size: Ladies $$ 0.85 48 PR $ 204.00 20% $ 163.20 $00
Promo 17 0 BL68242 Ladies Garden - Nitrile Coated Turquoise, Size: Ladies $$ 0.85 48 PR $ 204.00 20% $ 163.20 $00
Promo 17 0 BL68252 Ladies Garden - Nitrile Coated Blue, Size: Ladies $$ 0.85 48 PR $ 204.00 20% $ 163.20 $00
Promo 17 0 BL68262 Ladies Garden - Nitrile Coated Berry-Size: Ladies $$ 0.85 48 PR $ 204.00 20% $ 163.20 $00
Promo 18 0 BL77401 Ladies Garden - Spandex Back w/Padded Leather Palm, Blossom Size: M/L $$ 6.00 8 PR $ 205.00 20% $ 164.00 $00
Promo 18 0 BL77301 Ladies Garden - Spandex Back w/Padded Leather Palm, Tropical Size: M/L $$ 6.75 8 PR $ 205.00 20% $ 164.00 $00
Promo 18 0 BL77201 Ladies Garden - Spandex Back w/Padded Leather Palm, Wildflower Size: M/L $$ 7.75 8 PR $ 205.00 20% $ 164.00 $00
Promo 19 0 S73111 STANLEY: Select Leather Palm Yellow Canvas Back, Size: Large $$ 3.25 48 PR $ 195.00 20% $ 156.00 $00
Promo 20 0 S73611 STANLEY: Select Leather Palm Yellow Canvas Back, Size: Large $$ 3.80 40 PR $ 190.00 20% $ 152.00 $00
Promo 21 0 37241 Cut Resistant Nitrile Nitrile Palm, Size: Large $$ 3.15 30 PR $ 230.00 34% $ 151.20 $00
Promo 21 0 37244 ANSI Cut Level 4, Size: X-Large $$ 3.15 18 PR $ 230.00 34% $ 151.20 $00
Promo 22 0 S77641 STANLEY: Mechanics Padded Comfort Grip, Size: Large $$ 6.20 18 PR $ 223.20 20% $ 186.00 $00
Promo 22 0 S77644 STANLEY: Mechanics Padded Comfort Grip, Size: Large $$ 6.20 12 PR $ 223.20 20% $ 186.00 $00
Promo 23 0 S68921 STANLEY: Poly Shell,Smooth Nitrile Palm Coating, Navy Size: Large $$ 0.95 162 PR $ 192.38 20% $ 153.90 $00
Promo 24 0 99202 Hi-Performance Synthetic Leather, Reinforced Palm,Hi-Vis Orange Size: M $$ 6.50 4 PR $ 195.00 20% $ 156.00 $00
Promo 24 0 99201 Hi-Performance Synthetic Leather, Reinforced Palm,Hi-Vis Orange Size: L $$ 6.50 12 PR $ 195.00 20% $ 156.00 $00
Promo 24 0 99204 Hi-Performance Synthetic Leather, Reinforced Palm,Hi-Vis Orange Size: XL $$ 6.50 8 PR $ 195.00 20% $ 156.00 $00
Promo 25 0 39021 BBQ Single Glove, 3 Layer Heat Protection - Large $$ 4.50 36 PR $ 202.50 20% $ 162.00 $00
Promo 26 0 T15101 Yellow Caution Tape - 1.5 Mil./ 1000' $$ 3.87 36 PR $ 167.40 20% $ 139.32 $00
Promo 27 0 V110L Safety Vest Non Rated, Hi-Vis Orange, One Size $$ 2.60 20 EA $ 195.00 20% $ 156.00 $00
Promo 27 0 V111W Safety Vest Non Rated, Hi-Vis Lime, One Size $$ 2.60 40 EA $ 195.00 20% $ 156.00 $00
Promo 28 0 VZ260P-L Safety Vest Class 2, Zipper/2-Pockets, Orange Size Large $$ 3.50 6 EA $ 192.50 20% $ 154.00 $00
Promo 28 0 VZ260P-XL Safety Vest Class 2, Zipper/2-Pockets, Orange Size X-Large $$ 3.50 6 EA $ 192.50 20% $ 154.00 $00
Promo 28 0 VZ261P-L Safety Vest Class 2, Zipper/2-Pockets, Lime Size Large $$ 3.50 16 EA $ 192.50 20% $ 154.00 $00
Promo 28 0 VZ261P-XL Safety Vest Class 2, Zipper/2-Pockets, Lime Size X-Large $$ 3.50 16 EA $ 192.50 20% $ 154.00 $00
Promo 29 0 VZ250P-L Safety Vest Class 2, Zipper/2-Pockets,Two Tone Orange Size Large $$ 6.25 6 EA $ 188.20 20% $ 150.00 $00
Promo 29 0 VZ250P-XL Safety Vest Class 2, Zipper/2-Pockets, Two Tone Orange Size X-Large $$ 6.25 6 EA $ 188.20 20% $ 150.00 $00
Promo 29 0 VZ251P-L Safety Vest Class 2, Zipper/2-Pockets,Two Tone Lime Size Large $$ 6.25 6 EA $ 188.20 20% $ 150.00 $00
Promo 29 0 VZ251P-XL Safety Vest Class 2, Zipper/2-Pockets, Two Tone Lime Size X-Large $$ 6.25 6 EA $ 188.20 20% $ 150.00 $00
Promo 30 0 V510L Hi-Vis Reflective Long Sleeve Shirt Orange, Size: Large $$ 10.80 4 EA $ 160.08 19% $ 129.60 $00
Promo 30 0 V510XL Hi-Vis Reflective Long Sleeve Shirt Orange, Size: X Large $$ 10.80 2 EA $ 160.08 19% $ 129.60 $00
Promo 30 0 V511L Hi-Vis Reflective Long Sleeve Shirt Lime, Size: Large $$ 10.80 4 EA $ 160.08 19% $ 129.60 $00
Promo 30 0 V511XL Hi-Vis Reflective Long Sleeve Shirt Lime: Size X Large $$ 10.80 2 EA $ 160.08 19% $ 129.60 $00
Promo 31 0 RP10-Y Rain Poncho-10 mm w/ Hood Yellow, Size: Large $$ 2.70 30 EA $ 202.50 20% $ 162.60 $00
Promo 31 0 RP10-O Rain Poncho-10 mm w/ Hood Orange, Size: Large $$ 2.70 30 EA $ 202.50 20% $ 162.60 $00
Promo 32 0 RC35Y-L 2-PC Rainsuit .35 mm w/ Hood Yellow, Size: Large $$ 6.85 12 EA $ 198.00 17% $ 164.40 $00
Promo 32 0 RC35Y-XL 2-PC Rainsuit .35 mm w/ Hood Yellow, Size: X Large $$ 6.85 12 EA $ 198.00 17% $ 164.40 $00
Promo 33 0 PB23 Black PVC Boots Men's Size 8 $$ 10.85 2 PR $ 216.60 20% $ 173.60 $00
Promo 33 0 PB23 Black PVC Boots Men's Size 9 $$ 10.85 2 PR $ 216.60 20% $ 173.60 $00
Promo 33 0 PB23 Black PVC Boots Men's Size 10 $$ 10.85 4 PR $ 216.60 20% $ 173.60 $00
Promo 33 0 PB23 Black PVC Boots Men's Size 11 $$ 10.85 4 PR $ 216.60 20% $ 173.60 $00
Promo 33 0 PB23 Black PVC Boots Men's Size 12 $$ 10.85 2 PR $ 216.60 20% $ 173.60 $00
Promo 33 0 PB23 Black PVC Boots Men's Size 13 $$ 10.85 2 PR $ 216.60 20% $ 173.60 $00
Promo 34 0 SBM Back Support Belt, Size: Medium $$ 5.75 6 PR $ 208.50 20% $ 172.50 $00
Promo 34 0 SBL Back Support Belt, Size: Large $$ 5.75 14 PR $ 208.50 20% $ 172.50 $00
Promo 34 0 SBXL Back Support Belt, Size: X-Large $$ 5.75 10 PR $ 208.50 20% $ 172.50 $00
Promo 35 0 EHF10S Safety Eyewear, Scratch Resistant, Clear w/Frosted Frame $$ 0.75 120 PR $ 216.00 22% $ 168.00 $00
Promo 35 0 EHB20S Safety Eyewear, Scratch Resistant, Gray w/Blk Frame $$ 0.75 120 PR $ 216.00 22% $ 168.00 $00
Promo 36 0 39991 Winter "Cold Snap" Foam Latex, Hi-Vis Lime, Size: Large $$ 2.35 36 PR $ 193.88 20% $ 155.10 $00
Promo 36 0 39994 Winter "Cold Snap" Foam Latex, Hi-Vis Lime, Size: X-Large $$ 2.35 30 PR $ 193.88 20% $ 155.10 $00
Promo 37 0 16001 Winter - Brown Jersey , Insulated Red Fleece Lining, Size: Large $$ 1.05 144 PR $ 188.32 20% $ 151.20 $00
Promo 38 0 40831 Winter "Cold Snap" Therma-Cor 40 Gram, Hook & Loop Wrist, Large $$ 5.25 20 PR $ 210.00 20% $ 168.20 $00
Promo 38 0 40834 Winter "Cold Snap" Therma-Cor 40 Gram, Hook & Loop Wrist, Large $$ 5.25 12 PR $ 210.00 20% $ 168.20 $00
Promo 39 0 77301 Winter "Cold Snap" All Purpose Activity Glove, Large $$ 5.20 20 PR $ 196.00 15% $ 166.40 $00
Promo 39 0 77304 Winter "Cold Snap" All Purpose Activity Glove, X-Large $$ 5.20 12 PR $ 196.00 15% $ 166.40 $00
Promo 40 0 SPSJ401-L Hooded Sweatshirt Jacket, Fleece Fabric, Reflective, Pockets, Lime-L $$ 22.00 4 EA $ 202.88 24% $ 154.00 $00
Promo 40 0 SPSJ401-XL Hooded Sweatshirt Jacket, Fleece Fabric, Reflective, Pockets, Lime-XL $$ 22.00 3 EA $ 202.88 24% $ 154.00 $00
Promo 41 0 SPJ221-L Bomber Jacket, Quilted Lining,Reflective, Concealed Hood, Pockets, L $$ 24.95 4 EA $ 218.31 20% $ 174.65 $00
Promo 41 0 SPJ221-XL Bomber Jacket, Quilted Lining,Reflective, Concealed Hood, Pockets, xL $$ 24.95 3 EA $ 218.31 20% $ 174.65 $00
+
Total $600.00
Amount Paid $0.00
Balance Due $600.00