BILTWEL DUCT CLEANING EQUIPMENT INC. #4, 16327 – 130 Avenue Edmonton, AB T5V 1K5

Toll Free: 1-800-547-9210 Local: 780-447-1510 Fax: 1-780-447-2061

Email: info@biltwel.com

www.biltwel.com

Parts and accessories

Please note all products may not be exactly as shown. Prices subject to change without notice.

BRUSHES AND CABLES

BW2–RCB Cables Vent/ Branch Cleaning Cable 2-RCB01 -15’ $350.00 ea 2-RCB02 - 25’ $425.00 ea

BW2–RCB Brushes BW2-RCB03 - 8” Nylon Brush BW2-RCB05 - 12” Nylon Brush These brushes will scrub the walls of the ducts to ensure a thorough cleaning. 8” $70.00 ea 12” $78.00 ea

BW2–RCB Carbide Brushes BW2-RCB04 - 8” Silica Carbide Brush BW2-RCB06 - 12” Silica Carbide Brush These brushes will scrape the walls of the ducts to ensure a thorough cleaning. 8” $75.00 ea 12” $80.00 ea

BW2 – RBS24 Silica Carbide Brush Replacements 2-RBS24 - 08” $35.00 set 2-RBS2412 - 12” $50.00 set 2-RBS2418 - 18” $70.00 set

BW 2-2RBS25 Nylon Brush Replacement Hanks 2-2RBS25 08” $17.00 ea 2-2RBS2512 12” $25.00 ea 2-2RBS2518 18” $40.00 ea

BW232 Main Line & Fireplace Cleaning Cable 232.050 - 16’ $350.00 ea 232.070 - 23’ $425.00 ea 232.100 - 33’ $520.00 ea

BW261 Nylon Brushes 08” $43.00 ea 10” $47.00 ea 12” $51.00 ea 16” $59.00 ea 20” $81.00 ea 24” $91.00 ea 28” $105.00 ea 32” $110.00 ea

BW262 Nylon Brush reinforced w/steel 06” $43.00 ea 08” $48.00 ea 10” $51.00 ea 12” $58.00 ea 16” $63.00 ea 24” $95.00 ea 28” $105.00 ea 32” $110.00 ea

BW263 Whip Brush Hard and Soft Nylon Brushes w/ 4” extensions For rectangular ducts 04” $45.00 ea 06” $50.00 ea 08” $55.00 ea 10” $58.00 ea 12” $63.00 ea 16” $70.00 ea 20” $90.00 ea 24” $120.00 ea

BW264 Soft Polly Brush for Insulated ducts 03” $35.00 ea 06” $40.00 ea 08” $45.00 ea 10” $50.00 ea 12” $55.00ea 16” $65.00 ea 20” $80.00 ea

BW265 Steel Brush 06” $35.00 ea 07” $40.00 ea 08” $55.00 ea 10” $65.00 ea 12” $70.00 ea 14” $75.00 ea Larger Brushes Require Adaptor BW265.AD Get Quote

Cleaning Repair Kit BW240.032 -Inner Thread $4.00 per/ft BW242.032 -Brush Nipple $65.00 ea BW243.032 -Stop Nipple $65.00 ea BW242.012 -Press Socket $30.00 ea

*NO WARRANTY ON CABLES 1

PACKAGES

BW302 25’ Forward Skipper Assembly Black line; stiff. Does not return. $215.00 ea

BW303 30’ Reverse Skipper Assembly Blue line; flexible. $175.00 ea

BWBSL 30’, 35’ & 50’ Blue Skipper Line Most controlled and durable of the lines. 30’ $50.00 35’ $60.00 50’ $110.00

BW301 Blow Gun Assembly

$70.00 ea

BW301A Wand Assembly for Blow Gun

$37.00 ea

BW301B Blow Gun $45.00 ea

BWSSP-3/8 Complete Scorpion Air Whip Package

This scorpion package is made up of rods and whips. The rods are hollow and carry high-pressure air to the interchangeable whips. These rods have quick disconnects so they can be joined together quickly and allow the agitation device up to 30’in the duct work. By purchasing additional rods, device can be efficient up to 100’. (NOTE: Higher air pressure is more productive and cleans easier.) BWSTP-3/8 Scorpion Air Whip Starter Package

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Included in the package is as follows: 3 pcs BWSS1A 5’ x 3/8” I.D.Medium Flexible Rods 2 pcs BWSS1B 5’ x 3/8” I.D. Stiff Rods 1 pc BWSSFB Flexible Duct Ball 1 pc BWSS3 Single Predator Whip 1 pc BWSS15 Mini Predator Whip 1 pc BWSS16 Octopus Predator Whip 1 pc BWSS4 Forward Skipper Ball 1 pc BWSS6 Reverse Skipper Ball 1 pc BWSSBVH Ball Valve with 5’ clear braided

tubing & Scorpion Female QD

$465.00

Included in the package is as follows: 3 pcs BWSS1A 5’ x 3/8” I.D. Medium Flexible Rods 2 pcs BWSS1B 5’ x 3/8” I.D. Stiff Rods 1 pc BWSS3 Single Predator Whip 1 pc BWSS15 Mini Predator Whip 1 pc BWSS16 Octopus Predator Whip 1 pc BWSSBVH Ball Valve with 5’ clear braided tubing

& Scorpion Female QD

$345.00

WHIP PARTS

BWSS1A Whip Rod 5’ x 3/8” Blue Medium Flexible Rod $45.00 ea

BWSS1B Whip Rod 5’ x 3/8” White Stiff Rod $45.00 ea

BWSS1C Whip Rod 5’ x 1/4” White Stiff Rod $45.00 ea

BWSSBVH Ball Valve with 5’ clear braided tubing and Scorpion Female QD 1/4” Fittings $30.00 ea 3/8” Fittings $34.00 ea

BWSSTVH Thumb Valve with 5’ clear braided tubing and Scorpion Female QD 1/4” Fittings $38.00 ea 3/8” Fittings $40.00 ea

BWSSFB Whip Parts 4” Flexible Duct Ball $38.00 ea

BWSS8 Original Predator Whip 3 1/4” Ball requiring a 4” hole, travels well in flexible ducts. $45.00 ea

BWSS8T Replacement Tentacles for Original Predator Whip 3 Per set – 14” Long $6.00 set Can order just the tubing (per ft) $3.00 per/ft

BWSS3 Single Predator Whip 12” Whip with Male QD The most aggressive whip for loosening caked on debris. $14.00 ea

BWSS3T Replacement Tentacles for Single Predator Whip $3.00 ea

BWSS15 Mini Predator Whip Three-headed whip that will go through a 1” hole. Does not hang up on wire or other obstructions. Can be used in almost every duct. $45.00 ea

BWSS15T Replacement Tentacles for Mini Predator Whip with Brass Inserts $6.50 set

BWSS16 Octopus Predator Whip Compressed air causes the 8 tentacles to thrash in every direction at once hitting the duct work and wiping it clean. 14” long tentacles, also available in 28” length. Can be adapted to any rod system. $69.00 ea

BWSS16T Replacement Tentacles for Octopus Predator Whip with brass inserts 14” Long $21.00 set

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ATTACHMENTS Ends and/or assembly extra

BWDVBV Ball Valve with Female Quick Disconnect 1/4” Fittings $20.00 ea 3/8” Fittings $30.00 ea

BWSSTV Thumb Valve with Scorpion Female Quick Disconnect 1/4” Fittings $30.00 ea 3/8” Fittings $32.00 ea

BWDVTV Thumb Valve with Female Quick Disconnect 1/4” Fittings $28.00 ea 3/8” Fittings $38.00 ea

BWSSBV Ball Valve with Scorpion Female Quick Disconnect 1/4” Fittings $22.00 ea 3/8” Fittings $24.00 ea

BWSS13 1/4” Hose Barb x Female QD For 1/4” Rods and Snake Tubing

$20.00 ea

BW1803 Female Quick Connect 1/4” NPT Female Coupler $28.00 ea

BW1809 Male Tip 1/4” NPT Male Coupler Tip Used for blowgun – forward and reverse

$5.00 ea

BW1810 Female Quick Connect 1/4” NPT Female Tip

$5.00 ea

BW3JM2 Male Coupler 1/4” NPT Male Steel Coupler Used for air tank

$21.50 ea

BWSS11 3/8” Hose Barb x Female QD For 3/8” Scorpion Rod

$20.00 ea

BWSS12 3/8” Hose Barb x Male QD Steel Fitting for 3/8” Scorpion Rod

$11.00 ea

BWSS14 1/4” Hose Barb x Male QD Steel Fitting For 1/4” Rods and Snake Tubing

$11.00 ea

BWSS2A 1/4” NPT Male Thread x Female QD Replacement for Ball Valve Scorpion QD (SSBV) and Thumb Valve Scorpion QD (SSTV)

$18.00 ea

BWSS5 1/8” NPT Male Thread x Male QD NPT Thread fits non-spinning skipper balls.

$10.00 ea

BWSS7 1/4” NPT Female Thread x Male QD Brass Fitting for Original Predator (SS8) and Flexible Duct Ball (SSFB)

$10.00 ea

BWSS17 3/8” NPT Male Thread x Male QD Brass Fitting for Octopus Predator (SS16) and Mini Predator (SS15)

$10.00 ea

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FORWARD AND REVERSE BLOWING BALLS

BWSK4-12 Forward Blowing Aluminum – 12 jets with 1/4” hose barb $28.00 ea

BWSK6W Reverse Blowing Aluminum – 12 jets offset with 1/4” hose barb $28.00 ea

BWSK3 Reverse Blowing Spinning – 6 jets with 1/4” hose barb $45.00 ea

BWSK5 Forward Blowing Spinning – 6 large jets with 1/4” hose barb $45.00 ea

BWSS10 Forward Blowing Spinning Ball for Scorpion This end is always moving, so it finds it’s way around much easier. $57.20 ea

BWSS4 Forward Blowing Skipper Ball for Scorpion Used to loosen the debris and push them away from the suction hose.

$30.00 ea

BWSS6 Reverse Blowing Skipper Ball for Scorpion Used to loosen and pull the debris towards the suction hose. $30.00 ea

BWSS9 Reverse Blowing Spinning Ball for Scorpion Used on the end of the 20’ Snake. Pulls the debris down.

$57.20 ea

MISCELLANEOUS

BWAIR Air Line 3/8” ID 300 PSI Red Air Hose 50’ $180.00 ea 100’ $320.00 ea

BW902 Sanitizer Envirocon –Unscented Approved by EPA 1 Gal $88.00 ea BWBENEFECT $98.00 ea

BW312 Heavy Duty Sanitizer Gun Blowgun c/w 8’ vinyl syphon tube. It is used with compressed air to spray sanitizer, degreaser or hot water. Used for pressure washing fans and a/c coils.

$55.00 ea

BWFOG Fog Machine 110 volts AC 60 cycle 48” Flexible Discharge Hose Fogs up to 135’ Variable output: From a fine mist of 1.5gph to 14gph

$379.60 ea

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ACCESSORIES

BWRF Regular Flow Vacuum Bags 34” x 77” w/20-30 CFM (cubic ft./minute/square foot of cloth @ 1/2 ‘ wg) $60.00 ea

BWHF Hi Flow Vacuum Bags 34” x 77” w/40-50 CFM (cubic ft./minute/square foot of cloth @ 1/2 ‘ wg) $110.00 ea

BWHS-312 Vacuum Bag Clamps $13.50 ea

BW304 1” Duct Plugs

$.08 ea

BWUNI 1” Unibit

$68.00 ea

BWAP Access Panels- Pkg of 50 8” $75.00 pkg 10” $95.00 pkg 12” $120.00 pkg

BWREDU - Reducer BWREDU810 - 8” - 10” $50.00 ea BWREDU1012 - 10” - 12” $55.00 ea

BWPHC Plastic Hose Connectors BWPHC8–Set of 8” PHC $60.00 ea BWPHC10–Set of 10” PHC $70.00 ea

BWMHC8, 10 BWFHC8, 10 Metal Hose Connectors Male 8” $27.00 ea Female 8” $27.00 ea Male 10” $36.00 ea Female 10” $36.00 ea

BWK630ED Black Hose: Thermoplastic rubber with wire helix, does not accordion or mark walls and provides great airflow. 8” $17.40 per/ft Purchase in 16’ or 50’ lengths

BWK66YD Black/Yellow Hose A long lasting hose with exterior polypropylene helix and smooth bore interior premium airflow. 8” $23.85 per/ft Purchase in 16’ or 50’ lengths 10” $25.50per/ft Purchase in 25’ lengths

BW627-0557 Rubber Fender 1 9/16” x 4.5’ x 1/4” $15.80 per/ft Available in custom lengths

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LARGE ACCESSORIES Super Collector E-Max Portable Vacuum Collector

Super Collector E1.5 Portable Vacuum Collector

* Vacuum collectors do not include compressor or duct cleaning equipment. 7

The new Super Collector E-Max portable vacuum collection system packs more of everything you are looking for in a small portable package. It gives you the power to do commercial projects, the portability to do residential projects and the lowest operating cost in its class. E-Max delivers 7,000 “free air” cfm to maximize your productivity. The cleanable pre-filter and longer lasting high capacity HEPA filter gives you maximum savings year after year! Add it all up and the Super Collector E-Max gives you maximum productivity, profits and value! Comes with: Cleanable pre-filter drawer, High capacity HEPA final filter, 2 x 1.5 hp motor (operates on two separate 15 amp circuits), 10” wheels, built in dolly with stair sliders, 2 – 25’ power cord, 25’ x 10” flex hose, 10” to 10” hose coupler, Extra cleanable pre-filter drawer Dimensions & Weights: 24” (w) x 29” (l) x 48” (h) - 175 lbs.

The Super Collector E1.5 portable vacuum collection system delivers more performance (suction) in a smaller package at the lowest possible cost to give you the best value! No other portable vacuum collection system gives you the performance of the 1.5 hp motor and 3,500 cfm “free air” fan that gives you excellent productivity; the $400 to $1,000 annual savings of cleanable pre-filters; and the portability to get in and out quickly and easily. It’s the perfect unit for residential, apartment, condo, marine and other air duct cleaning projects! Comes with: Cleanable pre-filter drawer, HEPA final filter, Fan, 10” wheels, built in dolly with stair sliders, 25’ power cord, 25’ x 10” flex hose, 10” to 10” hose coupler. Dimensions & Weights: 20.5” (w) x 28.75” (l) x 42.5” (h) - 115 lbs.

Optional Items BW2-SC01 10” Duct attachment collar $135.00 BW2-SC1506 Cleanable pre-filter drawer $205.00 BW2-SC1505 HEPA filter (18” x 24” x 6”) $190.00 BW2-SC03 Flex hose: 10” x 25’ $280.00 BW2-SC1502 Wheel kit for cabinet handle $50.00 BW2-SC1504 Outside exhaust kit $205.00

Part No. Description Price BW1-SC15 Super Collector E1.5 $4,800.00 (1) Cleanable pre-filter drawer (1) HEPA final filter (1) 1.5 hp motor (operates on 15a, 110v circuit) (1) 3,500 cfm “free air” fan (2) 10” wheels, built in dolly with stair sliders (1) 25’ power cord (12/3) (1) 25’ x 10” Flex hose (1) 10” to 10” Hose coupler

Part No. Description Price BW1-SCEM Super Collector E-Max $6,745.00 (1) Cleanable pre-filter drawer (1) High capacity HEPA final filter (2) 1.5 hp motor (operates on two separate 15 amp circuits) (2) 3,500 cfm fans deliver a total of 7,000 “free air” cfm (2) 10” wheels, built in dolly with stair sliders (2) 25’ power cord (12/3) (1) 25’ X 10” Flex hose (1) 10” to 10” Hose coupler (1) Extra cleanable pre-filter drawer

Optional Items BW2-SC01 10” Duct attachment collar $135.00 BWSC1510 Cleanable pre-filter drawer $220.00 BW2-SC12 HEPA filter(23.375” x 23.375”x 11.5”)$280.00 BW2-SC03 Flex hose: 10” x 25’ $280.00 BW2-SC1502 Wheel kit for cabinet handle $50.00 BW2-SC06 Dirt Bucket $520.00

ROBOTIC INSPECTION SYSTEMS The Super Trac V robotic system gives you more choices so you can design the robotic system that fits your needs and budget. Select from the basic one camera vehicle system (recommended for inspection & documentation only) or the two camera vehicle system (recommended for inspection & cleaning) and then add the options that best suit your needs. You can add power brushing, air washing, spraying and manual inspection packages. Add it all up and you have a Super Trac V system that is exactly what you want!

The Super Trac V One Camera System is the most economical robotic system that is designed for inspection and documentation projects. It’s a great marketing tool because you can show your customer the before and after conditions. It allows you to inspect, narrate, record and make a DVD of your inspection on your laptop computer. It includes: Super Trac V One Camera Vehicle System BW1-ST02 $6,550.00 (1) 8.5” LCD color monitor (1) Analog to digital converter that connects to your laptop computer (you supply) (1) Recording and editing software for your laptop computer (1) Built-in microphone (1) 25’ 110 volt power cord (1) Basic vehicle -- 6.75” (w) x 10.25” (l) x 5” (h) with front camera and 12 variable intensity lights (1) Control Box (1) 100’ Cable with connectors (1) Extra set of tracks (12) Extra light bulbs (1) Rugged, lockable road case: 22” x 18” x 9.5” The Super Trac V Two Camera System is designed for inspection, documentation and cleaning projects. It lets you see forward and backward so you can better monitor your cleaning activities. It also lets you inspect, narrate, record and make a DVD of your inspection and cleaning on your laptop computer. It includes: Super Trac V Two Camera Vehicle System BW1-ST04 $7,800.00 (1) 8.5” LCD color monitor (1) Analog to digital converter that connects to your laptop computer (you supply) (1) Recording and editing software for your laptop computer (1) Built-in microphone (1) 25’ 110 volt power cord (1) Basic vehicle with front camera with 12 variable intensity lights and rear camera with 12 variable intensity lights (1) Viewing switch to view front or rear camera image (1) Control Box (1) 100’ Cable with connectors (1) Extra set of tracks (24) Extra light bulbs (1) Rugged, lockable road case: 22” x 18” x 9.5”

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ROBOTIC INSPECTION SYSTEMS

SPRAYING PACKAGE The spraying package is designed to apply coatings and sanitizers in ductwork from 6” to 20” high regardless of width. Coating insulation or duct board after cleaning locks down any remaining loose fibers and provides a much more durable air stream surface. A surface that is more resistant to the accumulation of dirt, moisture and other contaminates. Sanitizing sheet metal ductwork after cleaning provides a big plus in the fight to improve indoor air quality. The spraying package includes: BW2-ST02 Spraying Package $1,600.00 (1) 360 degrees spray nozzles for regular coating (1) 360 degrees spray nozzle for thicker coatings (1) 360 degree spray nozzle for sanitizers (3) Spray wands (so you can spray 4”, 6”, 8”, and 10.5” from bottom) (1) Fluid coupler (used with airless sprayer) (1) On/off control (used for airless sprayer)

AIR WASHING PACKAGE The air washing package is used with your air compressor and is designed to provide you with the maximum air washing and whipping capability. It includes: BW2-ST01 Air Washing Package $ 750.00 (1) On/off control assembly (1) Forward air sweep assembly (1) Air broom assembly (1) Octopus air whip assembly (14” whips) (1) Tri whip assembly (1) Single whip assembly

POWER BRUSHING PACKAGE The power brushing package is used with your air compressor and provides superior cleaning over air washing or air whips because brushing provides more contact with the duct surface. The power brushing package is designed to clean ductwork from 8” to 22” high regardless of duct width and includes: BW2-ST03 Power Brushing Package $ 2,350.00 (2) Nylon brushes (18”, 24”) (2) Silica carbide brushes (18”, 24”) (1) Variable height assembly (1) Reversible air motor assembly (1) On/off control & pressure regulator assembly

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Manual Inspection Package

The Manual Inspection Package let you conduct manual inspection in addition to your robotic inspections for even more versatility. The small color camera fits almost anywhere and like the robotic systems lets you inspect, narrate, record and make a DVD of your inspection on your laptop computer. It includes:

BW2-ST07 Manual Inspection Package $ 1,250.00 (1) Color camera. 1.75” (W) x 1.75” (H) x 2” (l) with 2 bright light LED lamps (1) 50’ Camera cable (4) 4’ Flexible extension rod (1) Vertical shaft inspection bracket (1) Camera cart

Note: If you don’t have a laptop or don’t want to use a laptop we can add a DVD recorder/player (contact factory for details). Also Available: Super Inspector V Inspection System $3,200.00

------------------------------------------------------------------------------------------------------- Optional Items BWSIE012 (500 watt) Stepdown transformer (220 V to 110 V) $85.00 BWSIE060 Bright light lamp $15.00 BW2-ST28 Replacement orange track $45.00 BW2-ST05 Replacement 100’ cable for single camera vehicle $420.00 BW2-ST06 Replacement 100’ cable for dual camera vehicle $420.00

# 4, 16327 - 130 AVENUE EDMONTON, ALBERTA, CANADA T5V 1K5 PHONE (780) 447-1510 FAX (780) 447-2061 TOLL FREE 1-800-547-9210 website: www.biltwel.com Email: info@biltwel.com

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VACUUM BODY PARTS

BW682-9041 Grab Handle Chrome Grab Handle For Top Doors of Truck $21.00 ea

BW682-4981 Grab Handle Stainless Steel Grab Handle For Side & Top of Truck $30.00 ea

BW 695-8128 Locking Paddle Handle With CH501 Key For side doors on Biltwel trucks prior to 2010 $62.40 ea

BW695-3017 Replacement Cylinder 501 Key $11.28 ea

BW706-0094 Spring Door Assist For side and rear door $19.90 ea

BW697-4242 3 Point Tee Handle with Rods With 501 Key Back Door Handle $75.00 ea

BW697-5282 Tee Handle Replacement Cylinder 501 Key $12.50 ea

BW699-9981 Single point Tee Handle no Rods with 501 Key For side doors $55.00 ea

BWB1 Revised Bracket for a Gas Shock For top door $35.00 ea

BW777-8311 Gas Shock for Top Bag Doors (Includes safety clips and ball studs)

$67.50 ea

BW771-0095 Door Keeper (Hook & Post) 4” Wire Type Door Holder with retaining spring $28.76 ea

BW754-4151 Hinge for top bag doors $37.40 ea

BWSN Single Suction Nozzle $575.00 ea

BWDN Double Suction Nozzle $875.00 ea

BWSCAP Cap for Suction Nozzle $38.00 ea

BW7760265 Recessed Fuel Pocket 6 3/16 “ outer Diameter Stainless Steel $54.44 ea

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VACUUM BODY PARTS (2)

BWSV-200 200 lbs Pressure Relief Valve $52.00 ea

BWAMF Aluminum Mud Flaps $150.00 set

BWB-2430 Rubber Mud Flap 24”x 30”

$43.00 ea

BWP98GA300L2.5BM.25 Liquid Filled Gauge $95.00 ea

BWP62110377E100 Air Filter for Compressor $55.00 ea

BWP62110377F100 Quincy Air Filter Assembly 1” 325, 340, 370 $85.00 ea

BWP62110814 Quincy Oil Filter $50.00 ea

BWP62110832-999 Pilot Valve 151-400HIRANGE RCQ $210.00 ea

BWP62113708-175 Pilot Valve 1/4; 175PSI-Plated Relief Valve $107.00 ea

BW85094 Hour Mini-Meter $160.00 ea

BWP62 112542G068 Compressor Oil Quin-Cip $65.00 gal

BW230 Back Up Alarm $70.00 ea

BW80350 5” Chrome Dome Light $25.50 ea

BWM507 4” Rubber Spot Light $23.50 ea

BW838-0146 License Plate Light $14.50 ea

BW54R, A Red or Amber Oval 2-Hole Reflector $2.00 ea

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VACUUM BODY PARTS (3)

BWM146R, A Red or Amber Marker Light 2” Marker Lamp

$3.70 ea

BWM426 R, Y, W Red, Yellow or White Signal Light 4” Sealed Tail Lamp Kit $16.00 ea

BWLED BW1050 $13.00 ea 2” LED Marker Light BW4050 $32.00 ea 4” LED Signal Light BW81360 $160.00 ea LED Spot Light 4.18”x6.8”x2.47”

BW776-1068 Folding Step 4.36”W x 3.8” L Stainless Steel 2000LB Capacity $78.00 ea

BW LR Ladder Rack $190.00 ea 33 3/4” inside length

BW Step Step $78.00 ea Stainless Steel

BW SI Ladder Series I Ladder 12.5” (wide) x 74” (shortest length) x 79” (longest length) $675.00 ea BW SII Ladder Series II Ladder 12.5” (wide) x 80” (shortest length) x 85” (longest length) $750.00 ea

BW 7 Bumper 7” Bumper $350.00 ea BW 9 Bumper 9 1/2” Bumper $396.00 ea

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Order Form Ship to: Company: _________________________________________________ Address: __________________________________________________ City: ______________________ State/ Province: _________________ Country: ___________________ Postal/ ZIP Code: ________________ Phone Number: ______________ Fax Number: ___________________ Email: ____________________________________________________ Payment Method:

Visa MasterCard Name of Cardholder: __________________________________________________ Card Number: ______________________________________ Exp Date: ________

Qty. Part # Description Price

GST # 89796 6586 RT0001 Toll Free: 1-800-547-9210 Subtotal

Local: (780) 447-1510 Tax

Fax: (780) 447-2061 Shipping/ Handling

Website: www.biltwel.com Total CDN $

Email: info@biltwel.com

Thank-you for your order! *EXTRA: All applicable taxes, shipping and handling. *NOTE: 25% restocking charge on any returned items. 14