Product Order Form - Birch Transportation Consulting

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BIRCH TRANSPORTATION CONSULTING
194 28342 Twp Rd 384
Red Deer County AB T4S 2B6
Phone (403) 309-4083
Fax: (403) 341-6252
PRODUCT ORDER FORM
Email:
traceybirch@shaw.ca
Website:
Quantity
Extended
Product
Price
Ordered
Cost
HOURS OF SERVICE
Hours of Service DVD Video Package-JJ Keller
$450.00
(Includes DVD, Instructor Guide, 11 Driver Guides & Interactive Quiz)
Hours of Service Driver Handbook – JJ Keller
$3.25
Hours of Service Driver Handbook – JJ Keller –
$3.25
Includes Oilfield Exemption Permit
Hours of Service Instructor Guide – JJ Keller
$40.00
Hours of Service Rules Card
$1.00
CTA Hours of Service for Commercial Drivers Guide
$22.00
Fatigue Management – DVD Video – JJ Keller
$180.00
(Includes Instructor Notes, Review Quiz, and Driver Skill Cards)
TRIP INSPECTIONS
Driver’s Vehicle Inspection Instruction Booklet - JJ Keller
$7.00
Roadside Inspections Driver Handbook-JJ Keller
$6.00
CVSA Inspection Charts
-JJ Keller
$1.50
(37 Steps Tractor-Trailer)
CARGO SECUREMENT
Cargo Securement Handbook for Drivers – JJ Keller
$15.00
Flatbed Cargo Securement DVD Video Package - JJ Keller
$325.00
(Includes DVD, Instructor Guide, Regulation, 11 Driver Handbooks &
Interactive Quiz)
CTA Practical Cargo Securement Manual
$33.00
SHIPPING
(varies on quantity & product)
GST
5%
Total
GST Number 885156232RT0001
Name: _________________________________________________________ Date Ordered: ______________________
Company Name: _____________________________________________________________________________________
Company Address: ________________________________________________City_______________________________
Postal Code: _________________ Telephone: ____________________________ Fax:____________________________
E-mail: _____________________________________________________________________________________________
Payment: Amount $_________________
Visa or M/C Credit Card No: _______________________________________________________Expiry ____________
Cardholder Name &
Signature:__________________________________________________________________________________________
(403) 341-6252
To order products or request more information, please fax form to:
Or Email:
Phone: (403) 309-4083 Website:
registration@birchconsulting.ca

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