Smartmark Order Form

SMARTMARK ORDER FORM

ENGLISH SMART MARK

Standardized Safety & Health Training Materials

ITEM / QTY / ITEM PRICE / Total
Instructor CD – covers all 19 modules / 90.00
STUDENT BOOKLETS:
1. Materials Handling / .50
2. Electrical / .50
3. Personal Protective Equipment / .50
4. Introduction to OSHA / .50
5. Fall Protection / .50
6. Stairways – Ladder / .50
7. Scaffolding / .50
8. Tool Safety / .50
9. Hazard Communications / .50
10. Confined Space / .50
11. Fire Safety / .50
12. Ergonomics / .50
13. Excavation / .50
14. Electrical Safety 2 / .50
15. Silica / .50
16. Residential Scaffolding Safety / .50
17. Residential Fall Protection / .50
18. Residential Hazards / .50
19. Motor Vehicles / .50
Sub-total / $
Shipping and Handling: 15 % of total order or see below for special handling. Orders will not be processed without proper payment of shipping and handling
Total Order Price

Special Handling, Please Circle: Next Day – 2 Day – 3 Day UPS Shipper Number: ______

Date of Order: ______Address: ______

International or BCTC: ______

______City: ______

Phone Number: ______State: ______

Local Union Number or JATC: ______Zip Code:______

PLEASE PRINT OR TYPE PLEASE PRINT OR TYPE

Affiliated International Unions should send order form(s) with payment(s) to:

Building and Construction Trades Department, AFL-CIO

Attn: Smart Mark

815 16th Street, NW

Washington, DC 20006-4104