Elevating Work Platform Association - EWPA Stationery Order Form

EWPA Stationery Order Form

Download the Stationery Order Form

Stationery Order Form Adobe Acrobat (79.3KB)

Order EWPA Stationery Online

Please note this form is effective from 1/2/2013

I am an EWPA member

Stationery Items	Member Price	Non-Member Price	Ref	Quantity	Total

"Using EWPs Safely" Booklet 60 page book on the safe use of access equipment	$10.20 per book	$15.30 per book	SB
Waterproof style EWP Routine Maintenance Logbook Service Logbook for individual equipment	$11.40 per book	$17.10 per book	LB
Trained Operator Application Pad (price includes cost of Yellow Operator Cards, packaging and postage to Applicant)	$260 per pad (50 forms per pad)	Accredited Trainers Only	AP
	Please provide Accredited Trainer name and number AT name: * required AT number: * required
Trained Operator Assessment Form	40c each	Accredited Trainers Only	QA
Boom Maintenance Safety Checklist Check List to assist in regular servicing of equipment Each pad contains 50 check list forms	$47.40 per pad	$71.10 per pad	BC
Scissor Maintenance Safety Checklist Check List to assist in regular servicing of equipment Each pad contains 50 check list forms	$47.40 per pad	$71.10 per pad	SC
Waterproof style EWP Summary Statement Card Details of manufacturer, annual & major inspection times (Grey Card)	95c per card	$1.40 per card	GC
Yellow Pouch All weather pouch to hold Logbook and Grey Card	$22.00 each	$33.00 each	YP
EWPA Member Stickers 150mm diameter	$1.30 each	Members Only	EWPA MS
EWP Load Restraint Guide – Transport Module 52 page book on the loading of ewps	$16.20 per book	$24.30 per book	RG
Distance from Powerlines Sticker	$2.60 each	$5.60 each	ES
Telescopic Handler Routine Maintenance Logbook Service Logbook for individual equipment	$7.10 per book	$10.60 per book	TH
Telescopic Handler Trained Operator Application Pad	$500 per pad (50 forms per pad)	Accredited TSH Trainers only	TSH AP
	Please provide Telescopic Handler trainer name and number TSH trainer name: * required TSH trainer number: * required
Telescopic Handler Trained Operator Assessment Form	90c each	Accredited TSH Trainers only	TSH QA
TSHA Member Stickers 135mm diameter	$1.30 each	Members Only	TSHA MS
Total * Please note postage & handling fee to be added to your order
All prices are GST inclusive. Please note postage & handling fee to be added to your order. An invoice will be issued once goods have been despatched.

Contact Details

Fields marked * are required
Company Name:	*
Contact Name:	*
Contact Phone:	*
Contact Email:
Order Number:
Delivery Address: Please note: P.O. box delivery addresses are not accepted	*
		Please tick if item can be left at door if unattended, i.e. "no signature required"
Billing Address:	*	Same as my Delivery Address