Product Order Form

Product Order Form
(Prices include GST)
Posters
Each
A4 - R.A.C.E. Standard Fire Orders
A4 - R.A.C.E. Emergency Procedures for Spills/Leaks of Hazardous Materia
A4 - Fire Extinguisher Selection Chart
A3 - Fire Extinguisher Selection Chart (hard board)
$9.90
Pocket Cards
Each
Fire Extinguisher Selection Card
$1.10
Hazardous Materials Information Card
$2.20
Flip Charts
Each
Generic Emergency Flip Charts (AS 3745)
$16.50
Generic Emergency Flip Charts (AS 4083)
$16.50
Caps
Each
Chief Warden (White Cap)
$22.00
Deputy Chief Warden (White Cap)
$22.00
Area Warden (Yellow Cap)
$22.00
Floor Warden (Yellow Cap)
$22.00
Warden (Red Cap)
$22.00
First Aid (Green Cap)
$22.00
Size
Each
Chief Warden (White)
$49.50
Deputy Chief Warden (White)
$49.50
$49.50
Warden (Red)
Floor Warden (Yellow)
Area Warden (Yellow)
First Aid (Green)
In Australia a postage charge of $8.00 applies to all
orders
Cost
Quantity
Cost
Quantity
Cost
Quantity
Cost
$2.20
$5.50
Communications (White)
Quantity
$2.20
A3 - Fire Extinguisher Selection Chart
Sizes: L / XL / XXL
Cost
$2.20
$2.20
A4 - R.A.C.E. Fire Orders for Kindergartens & Child Care Centres
Vests - Tabards
Quantity
$49.50
$49.50
$49.50
$49.50
Sub Total
Postage
Total Cost
MINIMUM ORDERS $20
The Commercial Division of Fire & Rescue NSW I RTO 91235
Web: www.comsafe.com.au I T: 1800 78 78 48 I E [email protected]
$8.00
Please note: all fields are mandatory to complete orders and email both pages of your order to
[email protected]
Client Information
*Date
*Purchase Order Number
*Organisation Legal Name
*Organisation Trading Name
*ABN
*Billing Address
*Postal Address
*Contact Person
*Email Address
*Telephone No.
*Mobile No.
Credit Card Details
MasterCard / Visa (please circle)
Name on credit card: ________________________________________
Card Number:
Expiry Date:
CVV:
____ /____ /____ /____
__ /__
_ _ _ (last three digits on the back of the card)
Signature of card holder:_____________________________________
Credit card payments will incur a surcharge of 0.40%
C16/359
The Commercial Division of Fire & Rescue NSW - RTO: 91235
Web: www.comsafe.com.au I T: 1800 787 848 I E: [email protected]