Safety and Supply Order Form 

Please enter the quantitiy of each item you wish to order in the item quantity column, fill out your order billing information and click submit.

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  Compliance Forms/Information (18)
Edit Column  Product   Unit Of Measure   Member Price   Non-Member Price   Qty   Total 
Edit Duplicate Log Books500+$1.00$1.40 $0.00
Edit Driver Vehicle Inspection Reports (single triplicate forms)1-199$0.10$0.14 $0.00
Edit Duplicate Log Books100+$1.10$1.55 $0.00
Edit Duplicate Log Books300+$1.05$1.45 $0.00
Edit Driver Vehicle Inspection Reports (single triplicate forms)200+$0.09$0.12 $0.00
Edit Driver Qualification Files (Drug & Alcohol)10+$5.10$5.60 $0.00
Edit Annual Vehicle Inspection Kit (1 form, 1 label)Each$0.60$0.65 $0.00
Edit Driver Vehicle Inspection Reports (31 triplicate forms/book)1-99$1.75$2.50 $0.00
Edit Driver Vehicle Inspection Reports (31 triplicate forms/book)100+$1.60$2.25 $0.00
Edit Log Summary EnvelopesEach$0.85$1.25 $0.00
Edit Federal Motor Carrier Safety Regulations (Pocketbook)1-24$3.50$5.50 $0.00
Edit Repair Order Forms (VMRS 2000)Each$0.35$0.45 $0.00
Edit Motor Vehicle Accident RegisterEach$13.73$15.25 $0.00
Edit Federal Motor Carrier Safety Regulations (Pocketbook)25+$3.32$4.50 $0.00
Edit Equipment Files (VMRS 2000)Each$1.15$1.50 $0.00
Edit Duplicate Log Books1-99$1.15$1.65 $0.00
Edit Federal Motor Carrier Safety Regs. (Management Edition Spiral Bound)Each$15.11$16.75 $0.00
Edit Equipment Files Insert (VMRS 2000)Each$0.60$0.95 $0.00
  Driver Qualification Forms (16)
Edit Column  Product   Unit Of Measure   Member Price   Non-Member Price   Qty   Total 
Edit Driver Qualification Files (Driver Investigation History)1-9$3.85$4.10 $0.00
Edit Driver Qualification Files (Driver Investigation History)10+$2.89$3.14 $0.00
Edit Driver Qualification Files (Drug & Alcohol)1-9$4.75$5.75 $0.00
Edit Driver Qualification Files (Drug & Alcohol)1-9$6.10$6.60 $0.00
Edit Application for Employment (Paper)1-24$0.65$1.50 $0.00
Edit Application for Employment (Paper)25+$0.55$1.00 $0.00
Edit Driver Qualification Files1-49$6.84$7.34 $0.00
Edit Driver Qualification Files50+$6.48$6.98 $0.00
Edit Medical Examiners Certificate (Wallet Size)1-24$0.20$0.40 $0.00
Edit Medical Examiners Certificate (Wallet Size)25+$0.15$0.30 $0.00
Edit Physical Exam Kit (1 form, 1 card)Each$2.00$4.00 $0.00
Edit Physical Exam Form (Forms Only)50 Forms$35.00$50.00 $0.00
Edit Driver State of On-Duty Hours (New Hire) (Pad of 50)Each$8.07$8.57 $0.00
Edit Driver State of On-Duty Hours (Intermittent) (Pad of 50)Each$8.07$8.57 $0.00
Edit LCV Driver Training Certificate10-49$0.35$0.36 $0.00
Edit LCV Driver Training Certificate50+$0.34$0.35 $0.00
  Hazardous Materials (8)
Edit Column  Product   Unit Of Measure   Member Price   Non-Member Price   Qty   Total 
Edit Emergency Response Guide Book25-49$3.05$3.30 $0.00
Edit Emergency Response Guide Book10-24$3.14$3.45 $0.00
Edit Emergency Response Guide Book100-199$2.87$3.15 $0.00
Edit Emergency Response Guide Book50-99$2.96$3.25 $0.00
Edit Hazardous Materials Compliance Pocketbook1-24$4.41$6.03 $0.00
Edit Hazardous Materials Regs 49 CFR Parts 100-185Each$33.00$50.00 $0.00
Edit Emergency Response Guide Book1-9$3.32$3.60 $0.00
Edit Hazardous Materials Compliance Pocketbook25+$4.14$5.45 $0.00
  Miscellaneous Items (4)
Edit Column  Product   Unit Of Measure   Member Price   Non-Member Price   Qty   Total 
Edit CSA Handbook for DriversEach$6.83$7.33 $0.00
Edit Cargo Securement Handbook for DriversEach$6.83$7.33 $0.00
Edit Vehicle Size & Weight HandbookEach$5.21$5.71 $0.00
Edit Straight Bill of Lading - short form (1,000 3-ply sheets)Each$132.00$152.00 $0.00
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Make Checks Payable to :
NYS Motor Truck Association

Mail a printed copy of this form and your check to:
Supply Order
NYS Motor Truck Association
828 Washington Avenue
Albany, NY 12203-1622


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Item Total: $0.00
S&H: $0.00
Subtotal: $0.00
Tax (8.25%): $0.00
Total Due: $0.00

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New York State Motor Truck

828 Washington Avenue
Albany, New York 12203
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Phone: (518) 458-9696
Fax: (518) 458-2525