<p> 5 Steps to Safety Trainers Resource Order Form</p><p>Only orders completed on this official order form are accepted Please complete all fields in block capitals</p><p>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:</p><p>Post Code: Post Code: Telephone Number: Telephone Number: Purchase Order Number:</p><p>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 </p><p>Valid from April 2016 Cheques should be made payable to CTA UK </p><p>If you wish to pay by credit card please complete the details below.</p><p>Card Number: _ _ _ _/_ _ _ _/_ _ _ _/_ _ _ _</p><p>Expiry date: _ _/_ _</p><p>Security Code: _ _ _</p><p>Please return this form to: CTA UK, Aeroworks, 5 Adair Street, Manchester, M1 2NQ Phone: 0161 351 1475 Email: [email protected]</p><p>For official use only Inv No. Database Cert No’s Cert No’s</p><p>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</p><p>Signature ______Print Name______Date_ _/_ _/_ _ A VAT invoice will be issued. </p><p>CTA Membership offers benefits including minibus insurance – please see website for full details or contact the office. www.ctauk.org</p><p>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.</p><p>Valid from April 2016</p>