Lifesaving Merchandise Order Form
Lifesaving Instructors: Order merchandise on behalf of your candidates and give out during lifesaving sessions
1
2
INVOICE ADDRESS
NAME/CONTACT
NAME/CONTACT
ORGANISATION
ORGANISATION
ADDRESS (no PO Boxes)
ADDRESS (no PO Boxes)
POSTCODE
TEL (DAYTIME)
FAX
4
CODE
DESCRIPTION
PRICE 1-9
PRICE 10+
QUANTITY
VALUE
PB3020A
Rookie Progress Book
(Bronze, Silver, Gold combined)
£ 1.95
£ 1.75
£
£
.
.
RC1977S
Rookie T Shirt 8/9 yrs
£ 9.95
£ 8.50
£
.
RC1977M
Rookie T Shirt 10/11 yrs
£ 9.95
£ 8.50
£
.
RC1977L
Rookie T Shirt 12/14 yrs
£ 9.95
£ 8.50
£
.
PB3041A
Survive & Save Award Folder
£ 9.95
£ 9.95
£
.
PB3042A
Survive & Save Medal Display (Std)
£ 20.00
£ 20.00
£
.
LW3026S
Survive & Save T Shirt Small
£ 9.95
£ 8.50
£
.
LW3026M
Survive & Save T Shirt Medium
£ 9.95
£ 8.50
£
.
LW3026L
Survive & Save T Shirt Large
£ 9.95
£ 8.50
£
.
LW3026X
Survive & Save T Shirt X Large
£ 9.95
£ 8.50
£
.
LW3026X2
Survive & Save T Shirt XX Large
£ 9.95
£ 8.50
£
.
OPTION A - PAY BY CREDIT CARD
When you pay by credit card your account is only debited when we dispatch your order.
If paying by credit card, the cardholder’s address must be shown as the invoice
address (please tick the appropriate box and complete your card details).
PLEASE CHARGE MY C/C ACCOUNT: Visa
Mastercard
Delta
Expiry Date
Maestro Issue No./Valid from
Signature
OPTION B - PAY BY CHEQUE OR POSTAL ORDER
I ENCLOSE A CHEQUE/POSTAL ORDER FOR £
Enter
Quantities
here from
Collation
Sheet
SUB TOTAL
£
.
P&P
£
NEXT DAY
(£4.00)
£
.
.
TOTAL
Maestro
Card Number
Payable to RLSS UK Enterprises Ltd. If known, please put your Customer Ref. Number on the reverse of cheque.
Sorry but no Cash and COD are accepted.
OPTION C - PAY BY PURCHASE ORDER
PURCHASE ORDER NO
ZZ8095 V3: 0414
POSTCODE
Lifesavers Direct will never give your information to other organisations for marketing purposes. Your
details will be used by Lifesavers Direct to occasionally keep you informed about relevant Lifesavers
Direct products and special offers. If you DO NOT wish to be contacted by Lifesavers Direct for marketing
purposes, please tick the relevant box(es) to opt out.
Mail
Tel
E-mail
EMAIL
3
DELIVERY ADDRESS (If different from the invoice address)
Please complete Options 1, 2 and 3 above and send with the Official Purchase Order. Purchase Orders from organisations
that do not have credit facilities with Lifesavers Direct may be delayed until credit terms have been confirmed.
All orders are subject to Lifesavers Direct Terms & Conditions of Sale
A copy of which can be downloaded from www.lifesaversdirect.co.uk/resources
or requested from 0844 824 3440
If for any reason you need your order urgently, we operate a NEXT DAY
DELIVERY SERVICE. Orders must be phoned or faxed before 12 noon to guarantee
Next Day delivery. The cost of this service, irrespective of parcel size or weight,
is a supplement of £4.00, over and above our normal postage and packing rates
subject to stock availability. Orders placed after 12 noon Friday will be delivered
the following Tuesday. Next Day deliveries can only be made to mainland Great
Britain and Northern Ireland, excluding the Scottish Highlands and Islands, the
Channel Islands and the Republic of Ireland. All Next Day parcels will need to be
signed for on delivery.
CARRIAGE, PACKING & INSURANCE CHARGE (UK ONLY)
Order value up to £20.00
Order value up to £100.00
Order value over £100.00
add £3.95
add £5.95
add £7.50 (per full £100 of order)
PLEASE ALLOW UP TO 7 WORKING DAYS AFTER RECEIPT OF
ORDER FOR DELIVERY.
PLEASE CALL FOR CARRIAGE CHARGE OUTSIDE UK.
PLEASE COMPLETE AND RETURN TO
LIFESAVERS DIRECT, TRINITY HOUSE,
LMF01
LISBURN BT28 2YY
Rookie T Shirt 10/11 yrs
Rookie T Shirt 12/14 yrs
Survive & Save Award Folder
Survive & Save Medal Display (Std)
Survive & Save T Shirt Small
Survive & Save T Shirt Medium
Survive & Save T Shirt Large
Survive & Save T Shirt X Large
Survive & Save T Shirt XX Large
RC1977M
RC1977L
PB3041A
PB3042A
LW3026S
LW3026M
LW3026L
LW3026X
LW3026X2
This form is to be retained by the instructor
Rookie T Shirt 8/9 yrs
RC1977S
PRICE
Rookie Progress Book
DESCRIPTION
PB3020A
CODE
Dates
Venue
Instructor
Course Ref
£ 1.75
£ 8.50
£ 8.50
£ 8.50
£ 9.95
£ 20.00
£ 8.50
£ 8.50
£ 8.50
£ 8.50
£ 8.50
£ 1.95
£ 9.75
£ 9.75
£ 9.75
£ 9.95
£ 20.00
£ 9.95
£ 9.95
£ 9.95
£ 9.95
£ 9.95
AMOUNT DUE £
10+
PRICE
1-9
CANDIDATE NAME
Lifesaving Merchandise Collation Sheet
TOTAL QUANTIES REQUIRED