Midas DAT S Resource Order Form s1

5 Steps to Safety Trainers Resource Order Form

Only orders completed on this official order form are accepted Please complete all fields in block capitals

Please allow for up to 28 days delivery Payment terms – 30 Days *A surcharge of £15.00 will be made for Northern Ireland, Highlands, Channel/Off shore Islands* Name of 5 Steps to Safety Trainer: 5 Steps to Safety 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 £1.41 11 - 20 £1.76 21 - 30 £2.05 31 - 40 £2.55 41 - 50 £3.55 51 - 60 £3.90 61 - 70 £4.94 71 - 80 £5.58 PPs TNT 81 - 100 £8.32 101 - 400 £11.62 401 - 1500 £13.67 1501 - 2500 £16.85 2501 - 3000 £18.76 Calculate delivery charges using the table.* To calculate Postage Points: Quantity X PPs = Total PPs

Valid from April 2016 Cheques should be made payable to CTA UK

If you wish to pay by credit card please complete the details below.

Card Number: _ _ _ _/_ _ _ _/_ _ _ _/_ _ _ _

Expiry date: _ _/_ _

Security Code: _ _ _

Please return this form to: CTA UK, Aeroworks, 5 Adair Street, Manchester, M1 2NQ Phone: 0161 351 1475 Email: [email protected]

For official use only Inv No. Database Cert No’s Cert No’s

Item Price- Inc. PPs Qty Total Total Cost of VAT PPs of Item(s) Training Resources: 5 Steps to Safety insert & Certificate pack- £6.45 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 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 Information: Available leaflets (10 max) Free 3 Safety of Passengers in Wheelchairs on Buses Free 3 (10 max) Totals Valid from April 2016 Delivery Cost TOTAL COST

Signature ______Print Name______Date_ _/_ _/_ _ A VAT invoice will be issued.

CTA Membership offers 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: Aeroworks, 5 Adair Street, Manchester, M1 2NQ. Registered Charity no. 1002222. VAT registration no. 425 7711 50.

Valid from April 2016