Midas DAT S Resource Order Form

5 Steps to Safety Training Agent Resource Order Form

We only accept orders on this official order form. Please complete all fields in block capitals

Please allow for up to 28 days delivery

Name of 5 Steps to Safety Training Agent: MiDAS or PATs Membership Number: Member Organisation: Company Name & Address for Delivery: Company Name & Address for Invoicing:

Post Code: Post Code: Telephone Number: Telephone Number: Purchase Order Number: Delivery Charges PPs Royal Mail 1 - 10 £1.33 If you wish to pay by credit card please 11 - 20 £1.57 21 - 30 £1.93 complete the details below. 31 - 40 £2.41 41 - 50 £3.35 Card Number: _ _ _ _/_ _ _ _/_ _ _ _/_ _ _ _ 51 - 60 £3.68 61 - 70 £4.66 Expiry date: _ _/_ _ 71 - 80 £5.26 PPs TNT Issue Number: _ _ 81 - 100 £7.85 101 - 400 £10.96 401 - 1500 £12.90 Security Code: _ _ _ 1501 - 2500 £15.90 2501 - 3000 £17.70 Calculate delivery charges using the table. Please return this form to: To calculate Postage Points: CTA UK, Highbank, Halton Street, Hyde, Quantity X PPs = Total PPs Cheshire, SK14 2NY

Example Phone: 0161 351 1475 3 handbooks at 50 PPs each 3 x 50 = 150 PPs Fax: 0161 351 7221 Email: [email protected] Total PPs for order: 150 PPs Delivery = £10.95 If PPs are above 3000: PPs = 3150 3000 = £17.70 150 = £10.95 Total Delivery Charge = £28.65

Valid from April 2015 Item Price- Inc. PPs Qty Total Total Cost of VAT PPs of Item(s) Training Resources: 5 Steps to Safety insert & Certificate pack- £6.20 50 excluding A5 ring binder as Driver already has ring binder following MiDAS Driver’s Course Publications: Driving Buses & Coaches - The official DSA £15.99 80 syllabus Driving Instructor's Handbook £19.99 80 Driving: The Essential Skills £15.99 80 Know Your Traffic Signs £4.99 30 Official Theory Test for Drivers of Large Vehicles £15.99 80 The Official Guide to Learning to Drive £9.99 30 Roadcraft: The Police Driver's Handbook £16.99 60 The Official DSA Theory Test for Car Drivers £14.99 80 The Highway Code £3.50 30 The Highway Code (Northern Ireland) £3.50 30 Tele-visual Resources: Steps to Safe Minibus Driving - DVD £16.00 30 Emergency Evacuation of Specialist Vehicles £16.00 30 DVD Emergency Evacuation on School Transport DVD £16.00 30 Hazard Perception - Roadsense Interactive DVD £16.00 30 Information: Available leaflets (10 max) Free 3 PSV 375: Drivers Hours & Tachograph Rules (10 Free 3 max) Safety of Passengers in Wheelchairs on Buses Free 3 (10 max) Training Agents ONLY: 5 Steps to Safety Trainer’s Manual, CD and £47.00 15 Certificate (To be inserted into the DATS or PATS manual & Certificate returns to be sent to CTA on Certificate Spreadsheet) 5 Steps to Safety Trainer’s Renewal Certificate £2.00 1* (Returns to be sent to CTA on Certificate Spreadsheet) Totals Delivery Cost TOTAL COST Signature ______Print Name______Date_ _/_ _/_ _

A VAT invoice will be issued. For all other essential requirements please see our CTA Shop on the website. CTA Membership offers other benefits including minibus insurance – please see website for full details or contact the office. www.ctauk.org Community Transport Association UK is a charitable company limited by guarantee. Registered in Cardiff no. 1985361. Registered office: Highbank, Halton Street, Hyde, Cheshire, SK14 2NY. Registered Charity no. 1002222. VAT registration no. 425 7711 50.

Valid from April 2015