<p> 5 Steps to Safety Training Agent Resource Order Form</p><p>We only accept orders on this official order form. Please complete all fields in block capitals</p><p>Please allow for up to 28 days delivery</p><p>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:</p><p>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</p><p>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</p><p>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_ _/_ _/_ _</p><p>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.</p><p>Valid from April 2015</p>