Company Name: Preferred Shipping Method: GroundAirOvernight Other  
Contact Person: Shipping Account Number (if applicable):
Title: City: Province/State:
Email: Postal/Zip Code: Country:
Work Phone: Fax:  

Method of Payment - Please Note All Prices Are In Canadian Dollars.

System Safety Services will accept Purchase Orders from established clientele, Visa, and Electronic Banking. Contact System Safety Services at 604-526-3993 for information on Electronic Banking or to phone in your order.

Purchase Order #:  Visa Name:   
  Visa Number: 
  Expiry Date:  
DESCRIPTION:Quantity Price Total Price
Flight Crew Dirty Dozen Posters (12)   $70.00  
Aircraft Maintenance Dirty Dozen Posters (12)   $70.00  
Complete Set (All 6 Videos)   $900.00  
Series 1: "Death of an Airline" Video   $175.00  
Series 2: "Too Many Cooks" Video   $175.00  
Series 3: "Danger Zone" Video   $175.00  
Series 4: "Careless, Stupid, Dumb, and Lazy" Video   $175.00  
Series 5: "And A Merry Christmas To You" Video   $175.00  
Series 6: "The Price of a Mistake" Video   $175.00  
Safety Net Decal -  20($15)  100($70)  200($130)  500($300)      
Zero Error Decal -  20($15)  100($70)   200($130)  500($300)      
Manage Risk Decal -  20($15)  100($70)  200($130)  500($300)      
Advice Cards -  20($15)  100($70)  200($130)  500($300)      
Total Price     

After submitting your order, we will contact you regarding shipping costs.

Canadian orders are subject to 5% GST.

Before submitting, Please print a copy for your own records. If you have any problems, please contact us.