VDOT Work Zone Safety Materials Order Form
VDOT Work Zone Safety Materials Order Form Order VDOT Materials from ATSSA and Save* *VDOT and other Commonwealth of Virginia agencies receive these materials at a 20% discounted price. Materials Pricing & Order Form
Shipping Charges
Product Description
Base Price
Qty
Price Each
Total
SUBTOTAL Ground
3-Day
2-Day
Next Day
$6.00
$9.50
$12.00
$28.00
2011 Virginia Work Zone Area Protection Manual (rev. 2015)
$27.22
$ 0.00
$0.50 - 9.99
2012 Work Zone Safety Guidelines for Temporary Traffic Control Pocket Guide (rev. 2015)
$10 - 24.99
$7.50
$12.00
$15.50
$33.00
$8.06
$ 0.00
$25 - 49.99
$8.50
$15.00
$19.00
$39.00
$50 - 74.99
$10.50
$17.00
$23.00
$44.50
$75 - 99.99
$11.50
$21.00
$29.00
$53.00
$100 - 199
$15.50
$27.00
$37.00
$65.00
$200 - 299
$17.50
$34.00
$50.00
$78.00
$300 - 399
$21.50
$42.00
$62.00
$90.00
$400 - 499
$26.00
$50.00
$74.00
$104.00
$500 - 599
$29.50
$58.50
$85.50
$120.00
$600 - 699
$33.50
$67.50
$96.50
$133.00
$700 - 799
$36.00
$75.00
$107.50
$150.00
$800 - 899
$39.00
$83.00
$118.00
$167.00
$900 - 999
$42.50
$92.00
$131.00
$188.00
VDOT Flagger Certification Kit
(includes a revised 2012 Work Zone Safety Guidelines for Temporary Traffic Control Pocket Guide, Work Zone Safety Training DVD, printed materials (handouts, tests), and 12 flagger certification cards)
$ 0.00
$15.12
Flagger Certification Cards (additional, sold separately) # of Cards Regular Price (each)
1-24 $0.51
25-49 $0.40
50-99 $0.30
$ 0.00
refer to table
100+ $0.25
. SUBTOTAL
**TAX: We are required to collect sales tax on all products. ***Pick Up Option: Processed orders may be picked up at the ATSSA office in Fredericksburg. Call 877-642-4637 to make advanced arrangements.
$ 0.00
20% AGENCY DISCOUNT* TAX** SHIPPING***
Methods to Order from ATSSA
ORDER TOTAL
Call: 877-642-4637 Fax: 540-368-1722 Email: [email protected] Mail: ATSSA Training & Products Department 15 Riverside Parkway, Suite 100 Fredericksburg, VA 22406-1022
Shipping Policy ■ Cannot be shipped to a PO Box. ■ Orders are shipped UPS Ground unless otherwise requested. ■ All UPS Ground, Next Day Air, 2nd Day Air and 3-Day shipment rates are throughout the contiguous 48 states. ■ No COD orders will be accepted at any time. ■ Same Day “Rush” orders will incur a $20 surcharge. ■ Orders processed using your shipping account incur a $10 surcharge. ■ For orders totaling $999.00 or more, you must call for a freight quote.
GENERAL INFORMATION: Name: ________________________________________________________________________________________________________ Company/Agency: _______________________________________________________________________________________________ Street Address: ________________________________________________________________________________________________ City:______________________________________________________ State: ________________________ ZIP Code: _____________ Phone: _____________________ Fax: ____________________ Email: ____________________________________________________
PAYMENT:
□
Check Enclosed - Payable to American Traffic Safety Services Association (ATSSA)
Please Charge My:
□ VISA
□ MASTERCARD
□ AMERICAN EXPRESS
Card Number: ____________________________________________________ Exp. Date: __________________ CVV: _____________ Name of Cardholder: _____________________________________________________________________________________________ Authorized Signature: ____________________________________________________________________________________________ Government Purchase Order # (Public Agencies Only): __________________________________________________________________ (Only accepted for orders over $50 | Copy of purchase order required at time of order)
Email Form
AMERICAN TRAFFIC SAFETY SERVICES ASSOCIATION 15 Riverside Parkway, Suite 100, Fredericksburg, VA 22406-1022 ■ 877-642-4637 ■ www.atssa.com
Shipping Charges
Product Description
Base Price
Qty
Price Each
Total
SUBTOTAL Ground
3-Day
2-Day
Next Day
$6.00
$9.50
$12.00
$28.00
2011 Virginia Work Zone Area Protection Manual (rev. 2015)
$27.22
$ 0.00
$0.50 - 9.99
2012 Work Zone Safety Guidelines for Temporary Traffic Control Pocket Guide (rev. 2015)
$10 - 24.99
$7.50
$12.00
$15.50
$33.00
$8.06
$ 0.00
$25 - 49.99
$8.50
$15.00
$19.00
$39.00
$50 - 74.99
$10.50
$17.00
$23.00
$44.50
$75 - 99.99
$11.50
$21.00
$29.00
$53.00
$100 - 199
$15.50
$27.00
$37.00
$65.00
$200 - 299
$17.50
$34.00
$50.00
$78.00
$300 - 399
$21.50
$42.00
$62.00
$90.00
$400 - 499
$26.00
$50.00
$74.00
$104.00
$500 - 599
$29.50
$58.50
$85.50
$120.00
$600 - 699
$33.50
$67.50
$96.50
$133.00
$700 - 799
$36.00
$75.00
$107.50
$150.00
$800 - 899
$39.00
$83.00
$118.00
$167.00
$900 - 999
$42.50
$92.00
$131.00
$188.00
VDOT Flagger Certification Kit
(includes a revised 2012 Work Zone Safety Guidelines for Temporary Traffic Control Pocket Guide, Work Zone Safety Training DVD, printed materials (handouts, tests), and 12 flagger certification cards)
$ 0.00
$15.12
Flagger Certification Cards (additional, sold separately) # of Cards Regular Price (each)
1-24 $0.51
25-49 $0.40
50-99 $0.30
$ 0.00
refer to table
100+ $0.25
. SUBTOTAL
**TAX: We are required to collect sales tax on all products. ***Pick Up Option: Processed orders may be picked up at the ATSSA office in Fredericksburg. Call 877-642-4637 to make advanced arrangements.
$ 0.00
20% AGENCY DISCOUNT* TAX** SHIPPING***
Methods to Order from ATSSA
ORDER TOTAL
Call: 877-642-4637 Fax: 540-368-1722 Email: [email protected] Mail: ATSSA Training & Products Department 15 Riverside Parkway, Suite 100 Fredericksburg, VA 22406-1022
Shipping Policy ■ Cannot be shipped to a PO Box. ■ Orders are shipped UPS Ground unless otherwise requested. ■ All UPS Ground, Next Day Air, 2nd Day Air and 3-Day shipment rates are throughout the contiguous 48 states. ■ No COD orders will be accepted at any time. ■ Same Day “Rush” orders will incur a $20 surcharge. ■ Orders processed using your shipping account incur a $10 surcharge. ■ For orders totaling $999.00 or more, you must call for a freight quote.
GENERAL INFORMATION: Name: ________________________________________________________________________________________________________ Company/Agency: _______________________________________________________________________________________________ Street Address: ________________________________________________________________________________________________ City:______________________________________________________ State: ________________________ ZIP Code: _____________ Phone: _____________________ Fax: ____________________ Email: ____________________________________________________
PAYMENT:
□
Check Enclosed - Payable to American Traffic Safety Services Association (ATSSA)
Please Charge My:
□ VISA
□ MASTERCARD
□ AMERICAN EXPRESS
Card Number: ____________________________________________________ Exp. Date: __________________ CVV: _____________ Name of Cardholder: _____________________________________________________________________________________________ Authorized Signature: ____________________________________________________________________________________________ Government Purchase Order # (Public Agencies Only): __________________________________________________________________ (Only accepted for orders over $50 | Copy of purchase order required at time of order)
Email Form
AMERICAN TRAFFIC SAFETY SERVICES ASSOCIATION 15 Riverside Parkway, Suite 100, Fredericksburg, VA 22406-1022 ■ 877-642-4637 ■ www.atssa.com
