CASA DO CAPACETE LTDA

FORMULARIO DE PEDIDOS

CLIENTE FANTASIA

ENDEREÇO

TELEFONE E MAIL

CNPJ INSCR.EST

Prazo:

Transportadora: TELEFONE

Desconto

REPRESENTANTE.:

AXCELERATOR cod 56 58 60 61 QTD VALOR TOTAL

PRATA 335 0 R$ 159.00

PRATA FOSCO 335 0 R$ 159.00

VERMELHO FOSCO 335 0 R$ 159.00

DOURADO 335 0 R$ 159.00

DRAGON cod 56 58 60 61 QTD VALOR TOTAL

PRATA 335 0 R$ 159.00

PRATA FOSCO 335 0 R$ 159.00

VERMELHO 335 0 R$ 159.00

VERMELHO FOSCO 335 0 R$ 159.00

DOURADO 335 0 R$ 159.00

DOURADO FOSCO 335 0 R$ 159.00

CHILD II BEEWILD cod 52 54 QTD VALOR TOTAL

PRATA 316 0 R$ 159.00

LARANJA 316 0 R$ 159.00

VERMELHO 316 0 R$ 159.00

AMARELO 316 0 R$ 159.00

BIKER cod QTD VALOR TOTAL

BICICLETA - BIKER GS06 0 R$ 72.00

BIKER - PM 0 R$ 72.00

BIKER - BRIGADA 0 R$ 72.00

AVIATOR cod 56 58 60 QTD VALOR TOTAL

PRATA / BRANCO 104 0 R$ 106.00

PRETO / DOURADO 104 0 R$ 106.00

PRETO / BRANCO 104 0 R$ 106.00

CASA DO CAPACETE LTDA

CLIENTE FANTASIA ENDEREÇO E MAIL TELEFONE INSCR.EST CNPJ TELEFONE Prazo: Transportadora:DescontoREPRESENTANTE.:MP11 56 58 60 61 QTD VALOR TOTAL SUGERIDO CHAMPAGNE 0 R$ 226.00 R$ 0.00 R$ 409.00 MATT BLACK 0 R$ 226.00 R$ 0.00 R$ 409.00 MATT BROWN 0 R$ 226.00 R$ 0.00 R$ 409.00 METALIC BLACK 0 R$ 226.00 R$ 0.00 R$ 409.00 PEARL WHITE 0 R$ 226.00 R$ 0.00 R$ 409.00 ASTONE KSR MONO COLOR 56 58 60 61 QTD VALOR TOTAL SUGERIDO MATT BLACK 0 R$ 278.00 R$ 0.00 R$ 499.00 WHITE 0 R$ 278.00 R$ 0.00 R$ 499.00 MATT GUN METAL 0 R$ 278.00 R$ 0.00 R$ 499.00 ASTONE KSR GRAPHIC 56 58 60 61 QTD VALOR TOTAL SUGERIDO RIVIERA WOOD WHITE 0 R$ 278.00 R$ 0.00 R$ 499.00 DUNDEE 0 R$ 278.00 R$ 0.00 R$ 499.00 ASTONE KSR EXCLUSIVE 56 58 60 61 QTD VALOR TOTAL SUGERIDO SCOTTISH BLACK 0 R$ 309.00 R$ 0.00 R$ 550.00 DOLCE CUBANNA BLACK 0 R$ 309.00 R$ 0.00 R$ 550.00 DOLCE CUBANNA WHITE 0 R$ 309.00 R$ 0.00 R$ 550.00 DESIGN BLACK-WHITE 0 R$ 309.00 R$ 0.00 R$ 550.00 DESIGN BLACK-GOLD 0 R$ 309.00 R$ 0.00 R$ 550.00 DESIGN PINK 0 R$ 309.00 R$ 0.00 R$ 550.00 DESIGN WHITE-BLACK 0 R$ 309.00 R$ 0.00 R$ 550.00 ASTONE KSR PAINT CRACKLE 56 58 60 61 QTD VALOR TOTAL SUGERIDO MATTE CRACKLE 0 R$ 315.00 R$ 0.00 R$ 585.00 ASTONE - KSR - NO FEAR 56 58 60 61 QTD VALOR TOTAL SUGERIDO BLACK 0 R$ 255.00 R$ 0.00 R$ 469.00 BLACK MATTE 0 R$ 255.00 R$ 0.00 R$ 469.00 WHITE 0 R$ 255.00 R$ 0.00 R$ 469.00 ASTONE - DJ10 MONO COLOR 56 58 60 61 QTD VALOR TOTAL SUGERIDO BLACK GLOSS 0 R$ 330.00 R$ 0.00 R$ 650.00 MATT BLACK 0 R$ 330.00 R$ 0.00 R$ 650.00 PEARL WHITE 0 R$ 330.00 R$ 0.00 R$ 650.00 ASTONE - DJ10 EXCLUSIVE 56 58 60 61 QTD VALOR TOTAL SUGERIDO STRIPES BLACK-WHT 0 R$ 352.00 R$ 0.00 R$ 742.00 DESIGN BLACK GREY 0 R$ 352.00 R$ 0.00 R$ 742.00 DESIGN WHITE BLK 0 R$ 352.00 R$ 0.00 R$ 742.00 MATTE CRACKLE 0 R$ 352.00 R$ 0.00 R$ 742.00 ASTONE SPORSTER EXCLUSIVE 56 58 60 61 QTD VALOR TOTAL SUGERIDO AMERICAN EAGLE 0 R$ 395.00 R$ 0.00 R$ 742.00 BRÉSIL 0 R$ 395.00 R$ 0.00 R$ 742.00 FORZA ITÁLIA 0 R$ 395.00 R$ 0.00 R$ 742.00 SUPERLEGGERO ORANGE 0 R$ 395.00 R$ 0.00 R$ 742.00 BROWN MATT 0 R$ 395.00 R$ 0.00 R$ 742.00 BLACK MATT 0 R$ 395.00 R$ 0.00 R$ 742.00 KING CHARLES 0 R$ 395.00 R$ 0.00 R$ 742.00 RALLYE WHITE 0 R$ 395.00 R$ 0.00 R$ 742.00 RALLYE BLACK ORANGE 0 R$ 395.00 R$ 0.00 R$ 742.00 MATTE CRACKLE 0 R$ 395.00 R$ 0.00 R$ 742.00 ASTONE LEAD JET FIBRE EXCLUSIVE 56 58 60 61 QTD VALOR TOTAL SUGERIDO MATT BLACK 0 R$ 599.00 R$ 0.00 R$ 1,129.00 BLACK GLOSS 0 R$ 599.00 R$ 0.00 R$ 1,129.00 WHITE 0 R$ 599.00 R$ 0.00 R$ 1,129.00 MATT GUN METAL 0 R$ 599.00 R$ 0.00 R$ 1,129.00 ASTONE SV2 - SUN VISIO 2 56 58 60 61 QTD VALOR TOTAL SUGERIDO WHITE 0 R$ 529.00 R$ 0.00 R$ 999.00 TITANIUM GLOSS 0 R$ 529.00 R$ 0.00 R$ 999.00 BLACK MATT 0 R$ 529.00 R$ 0.00 R$ 999.00 HARVEST ORANGE 0 R$ 599.00 R$ 0.00 R$ 1,059.00 TITANIUM MATT 0 R$ 529.00 R$ 0.00 R$ 999.00 ASTONE ROADSTAR EXCLUSIVE 56 58 60 61 QTD VALOR TOTAL SUGERIDO PEARL WHITE 0 R$ 359.00 R$ 0.00 R$ 674.00 ASTONE ROADSTAR EXCLUSIVE 56 58 60 61 QTD VALOR TOTAL SUGERIDO PANTERA BLACK 0 R$ 399.00 R$ 0.00 R$ 782.00 PANTERA WHITE 0 R$ 399.00 R$ 0.00 R$ 782.00 INFERNO 0 R$ 399.00 R$ 0.00 R$ 782.00 INFERNO BLACK 0 R$ 399.00 R$ 0.00 R$ 782.00 CHRONOS 0 R$ 399.00 R$ 0.00 R$ 782.00 RS 56 58 60 61 QTD VALOR TOTAL SUGERIDO MATT BLACK 0 R$ 320.00 R$ 0.00 R$ 650.00 WHITE 0 R$ 320.00 R$ 0.00 R$ 650.00 RS EXCLUSIVE 56 58 60 61 QTD VALOR TOTAL SUGERIDO EVERGLADE 0 R$ 340.00 R$ 0.00 R$ 690.00 BLAZE 0 R$ 340.00 R$ 0.00 R$ 690.00 CLASSIC 0 R$ 340.00 R$ 0.00 R$ 690.00 MX CROSS 56 58 60 61 QTD VALOR TOTAL SUGERIDO ANAHEIM 0 R$ 330.00 R$ 0.00 R$ 640.00 MONARCH BLUE 0 R$ 330.00 R$ 0.00 R$ 640.00 MONARCH BLACK 0 R$ 330.00 R$ 0.00 R$ 640.00 ASTONE GTB 56 58 60 61 QTD VALOR TOTAL SUGERIDO BLACK MATT 0 R$ 275.00 R$ 0.00 R$ 590.00 METALIC BLACK 0 R$ 275.00 R$ 0.00 R$ 590.00 ASTONE GTB EXCLUSIVE 56 58 60 QTD VALOR TOTAL SUGERIDO VALENTIN BLACK 0 R$ 325.00 R$ 0.00 R$ 650.00 VALENTIN PINK 0 R$ 325.00 R$ 0.00 R$ 650.00 VALENTIN WHITE 0 R$ 325.00 R$ 0.00 R$ 650.00 CARBON RED 0 R$ 325.00 R$ 0.00 R$ 650.00 ROADSHOW 0 R$ 325.00 R$ 0.00 R$ 650.00 ROSSO 0 R$ 325.00 R$ 0.00 R$ 650.00 METTALIC 0 R$ 325.00 R$ 0.00 R$ 650.00 FASTBACK 0 R$ 325.00 R$ 0.00 R$ 650.00 ZEBRA 0 R$ 325.00 R$ 0.00 R$ 650.00 RT 1000 - escamoteavel 56 58 60 61 QTD VALOR TOTAL SUGERIDO BLACK GLOSS 0 R$ 499.00 R$ 0.00 R$ 899.00 MATT BLACK 0 R$ 499.00 R$ 0.00 R$ 899.00 WHITE GLOSS 0 R$ 499.00 R$ 0.00 R$ 899.00 MATT GUN METAL 0 R$ 499.00 R$ 0.00 R$ 899.00 PEARL WHITE 0 R$ 499.00 R$ 0.00 R$ 899.00 ITALIA 0 R$ 599.00 R$ 0.00 R$ 1,059.00 STRIPES 1 - orange matte 0 R$ 599.00 R$ 0.00 R$ 1,059.00 STRIPES 2 - black / white 0 R$ 599.00 R$ 0.00 R$ 1,059.00 STRIPES 2 - orange matte 0 R$ 599.00 R$ 0.00 R$ 1,059.00

TOTAL DE CAPACETES 0 TOTAL R$ R$ -

FORMULARIO DE PEDIDO (preencher numericamente no modelo e tamanho desejado(ex: 1,2,3)

CASA DO CAPACETE LTDAFORMULARIO DE PEDIDOS

CLIENTE FANTASIA

ENDEREÇO

TELEFONE E MAIL

CNPJ INSCR.EST

PRAZO

TRANSPORTADORA TELEFONE

DESCONTO

REPRESENTANTE.:

VISEIRAS - MHR / LS2 / TEXX / NORISK / NUVO / SHAD

DESCRIÇÃO cod COR QTD VALOR TOTAL

VISEIRA MHR BLADE / LS2 / TEXX / NO RISK / SHAD / NUVO

FF336/331 CRISTAL R$ 22.00 FF336/331 FUME R$ 22.00 FF336/331 PRATA R$ 22.00 FF336/331 DEGRADE AZUL R$ 22.00 FF336/331 DEGRADE VERMELHA R$ 22.00

VISEIRA MHR SPRINT / LS2 / TEXX / NO RISK FF311 PRATA R$ 20.00 FF311 CARACOAT R$ 20.00 FF311 DEGRADE FUME R$ 20.00

VISEIRA MHR SPECTRO 2 / LS2 / TEXX / NO RISK / NUVOFF346 PRATA R$ 22.00 FF346 FUME R$ 22.00

VISEIRAS - XCEED DESCRIÇÃO cod COR QTD VALOR TOTAL

VISEIRA XCEED KAMIKAZE / URBAN / MAD DUCK OU SOLARIS833/832 CARACOAT R$ 40.00 833/832 CRISTAL R$ 39.00

OCULOS INTERNO XCEED KAMIKAZE / URBAN / HEARTBEAT

833 PRATA R$ 25.00 833 AZUL R$ 25.00 833 FUME R$ 25.00 833 CARACOAT R$ 25.00

VISEIRA XCEED SPRINT3 - DRAGON - AXCELERATOR E JOCKER

335 PRATA R$ 22.00 335 AZUL R$ 22.00 335 FUME R$ 22.00 335 CRISTAL R$ 22.00

VISEIRA XCEED SPECTRO 3 314 CRISTAL R$ 25.00

VISEIRA XCEED CHILD BEE WILD316 CRISTAL R$ 25.00 316 FUME R$ 25.00

VISEIRA XCEED AVIATOR 104 CRISTAL R$ 25.00

VISEIRA XCEED VIPER DE AUTOMOBILISMO 4MMKART CRISTAL R$ 85.00 KART FUME CLARA R$ 85.00

VISEIRAS - AGVDESCRIÇÃO cod COR QTD VALOR TOTAL

VISEIRA AGV TI TECH - OU - LONGWAY OU GP PROAGV AZUL R$ 105.00 AGV PRATA R$ 105.00 AGV GOLD R$ 105.00

VISEIRAS ARAI

VISEIRA ARAI CHASER ARAI AZUL R$ 105.00 ARAI PRATA R$ 105.00 ARAI GOLD R$ 105.00

VISEIRAS SHOEI

VISEIRA SHOEI CX1-V ( RAID, MULTITEC, XSPIRIT, XR1000 )

SHOEI prata R$ 180.00 SHOEI dourada R$ 180.00 SHOEI caracoat R$ 180.00 SHOEI fume R$ 138.00 SHOEI cristak R$ 120.00

VISEIRA SHOEI CW-1 ( QWEST, XR 1100, XSPIRIT 2 )

SHOEI prata R$ 190.00 SHOEI dourada R$ 190.00 SHOEI caracoat R$ 190.00 SHOEI fume R$ 138.00 SHOEI cristak R$ 120.00

VISEIRAS GDRVISEIRA GDR - TOP GUN ou NENKI NK 826 TOP GUN FUME R$ 29.00

OCULOS INTERNO GDR TOP GUN

TOP GUN AZUL R$ 29.00 TOP GUN PRATA R$ 29.00 TOP GUN FUME R$ 29.00 TOP GUN CARACOAT R$ 29.00

VISEIRAS - ASTONE - ZEUS

DESCRIÇÃO cod sugerido COR QTD VALOR TOTAL

VISEIRA ASTONE - GTB / ZEUS - 806 806 127.50 FUME R$ 75.00 806 127.50 PRATA R$ 75.00

806 127.50 CARACOAT R$ 75.00

806 85.00 CRISTAL R$ 50.00 VISEIRA GTB com preparacao de PINLOCK 806 144.50 CRISTAL R$ 85.00

VISEIRA ASTONE - KSR 210 136.00 FUME R$ 80.00 210 136.00 CRISTAL R$ 80.00

VISEIRA ASTONE - MP 11 mp11 85.00 CRISTAL R$ 50.00 MP11 85.00 FUME R$ 50.00 MP11 85.00 CARACOAT R$ 50.00 MP11 85.00 PRATA R$ 50.00

VISEIRA ASTONE - SUN VISIO / ZEUS 3000a 3000A 127.50 CRISTAL R$ 75.00 3000A 127.50 FUME R$ 75.00

VISEIRA ASTONE - DJ-10 dj-10 144.50 CRISTAL R$ 85.00 dj-10 144.50 FUME R$ 85.00

VISEIRA RT 1000 com preparacao de PINLOCK RT1000 153.00 CRISTAL R$ 90.00

VISEIRA RT-1000 RT1000 144.50 FUME R$ 85.00

RT1000 144.50 PRATA R$ 85.00

VISEIRA ASTONE - LEAD LEAD 144.50 CRISTAL R$ 85.00 LEAD 144.50 FUME R$ 85.00

VISEIRA ASTONE ROADSTAR ROAD 127.50 FUME R$ 75.00 ROAD 144.50 PRATA R$ 85.00 ROAD 144.50 CARACOAT R$ 85.00 ROAD 127.50 CRISTAL R$ 75.00

VISEIRA ROADSTAR com preparacao de PINLOCK RT1000 153.00 CRISTAL R$ 90.00

VISEIRA RS RS 144.50 CRISTAL R$ 85.00

VISEIRA SPORSTER SPORSTER 127.50 CRISTAL /PRETO R$ 75.00 SPORSTER 127.50 CRISTAL / MARROM R$ 75.00 SPORSTER 127.50 CRISTAL / BRANCO R$ 75.00 SPORSTER 127.50 FUME / PRETO R$ 75.00

PINLOCK para capacete ASTONE 144.50 R$ 85.00

170%

CASA DO CAPACETE LTDAFORMULARIO DE PEDIDOS

CLIENTE FANTASIA

ENDEREÇO

TELEFONE E MAIL

CNPJ INSCR.EST

PRAZO

TRANSPORTADORA TELEFONE

DESCONTO

REPRESENTANTE.:

OCULOS DE MOTOCROSS

DESCRIÇÃO cod COR QTD VALOR TOTAL

OCULOS COM ELASTICO DE MOTOCROSS NK 308 BLACK R$ 31.00 OCULOS COM ELASTICO DE MOTOCROSS NK 307 BLACK R$ 31.00 OCULOS COM ELASTICO P CAP. INFANTIL NK 302 BLACK R$ 31.00 OCULOS COM ELASTICO P CAP. INFANTIL NK 302 RED R$ 31.00 OCULOS COM ELASTICO P CAP. INFANTIL NK 302 PINK R$ 31.00

PROTETORES CERVICAISFAIXA ABDOMINAL 3 VERT PRETO R$ 55.00

PROTETOR DE COLUNA 6 VERT PRETO R$ 105.00 7 VERT PRETO R$ 125.00

LUVAS DE COUROP M G GG GGG QTD

luva preta de couro ( 711 ) R$ 65.00 luva de couro com reforco 132 R$ 96.00 preta com kevlar ( mod.712 ) R$ 112.00 verm. com kevlar ( mod.713 ) R$ 112.00

Luva modelo meio dedo ( mod. 716 ) R$ 35.00 luva de kart R$ 65.00

JAQUETAS JAQUETA XCEED POLICE P M G GG QTD

PRETA R$ 350.00 JAQUETA XCEED VERONA / VENEZA P M G GG QTD

PRETA R$ 350.00 CONJUNTO DE CHUVA

CONJUNTO DE CHUVA NENKI / XCEED P M G GG GGG QTDPRETA R$ 157.00

MACACAO DE KARTSEM FORRO P M G GG QTD

AZUL R$ 180.00 VERMELHO R$ 180.00

PRETO R$ 180.00 SAPATILHA DE KART

ACESSORIOSDESCRIÇÃO cod COR QTD VALOR TOTAL

SUPORTE DE CAPACETE PARA PAREDE CANALETADA CDC BLACK R$ 11.00 JOELHEIRA DE MOTOCROSS NENKI NENKI BLACK R$ 78.00

BALACLAVAS DE POLIESTER E VISCOSEPRIMUS PRETO R$ 14.00 PRIMUS BEGE R$ 14.00

BALACLAVAS ANTI CHAMA XCEED PRETA R$ 120.00 BOLSA DE PELE PORTA CAPACETE XCEED PRETO R$ 55.00

COLETE DE KART PRIMUS R$ 60.00 PESCOCEIRA DE KART PRIMUS R$ 45.00

BOLSA DE PELE PORTA CAPACETE PERSONALIZADA astone PRETO R$ 79.00 BOLSA DE PELE PORTA CAPACETE PERSONALIZADA arai PRETO R$ 79.00

BOLSA DE PELE PORTA CAPACETE PERSONALIZADA xceed PRETO R$ 79.00 BOLSA DE PELE PORTA CAPACETE PERSONALIZADA shark PRETO R$ 79.00 BOLSA DE PELE PORTA CAPACETE PERSONALIZADA harley PRETO R$ 79.00 BOLSA DE PELE PORTA CAPACETE PERSONALIZADA triumph PRETO R$ 79.00 BOLSA DE PELE PORTA CAPACETE PERSONALIZADA agv PRETO R$ 79.00 BOLSA DE PELE PORTA CAPACETE PERSONALIZADA shoei PRETO R$ 79.00

INTERCOMUNICADORES bikecomm - hola F pro team 2 pecas R$ 950.00

OCULOS CLASSICOSOCULOS CLASSICOS mod. Vintage BLACK R$ 31.00 OCULOS CLASSICOS mod. Classic BLACK R$ 31.00

PECAS DE CAPACETESLATERAL MHR BLADE FF326 BLACK R$ 25.00

LATERAL XCEED SPRINT 3 G335 BLACK R$ 30.00 LATERAL XCEED / NENKI KAMIKASE NK833 BLACK R$ 30.00

BOTA VQUATTRO40 41 42 43 44 45 46

BOTA MILANO ( BLACK ) R$ 399.00 BOTA MILANO ( BROWN ) R$ 399.00 BOTA SAN REMO R$ 399.00 BOTA APRILIA R$ 399.00