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					                                                                                            Last Updated         6/2/2010



                                                    Publications & Supplies Order Form
                                                                                            Internal Use Only

                                                        Order Taken By: ____________________________________
Complete and mail to:                                   Account Status Verified By: ___________________________
           California Trucking Association              Order Number: _____________________________________
           Attn: Supply Center                          Shipping Document Completed By: _____________________
           4148 E. Commerce Way
                                                                               Order Filled Completely          Back-Ordered
           Sacramento, CA 95834
                                                        Date Shipped: ____/____/____ Shipping Cost: $_________
Or fax to: (916) 371-7558

The Supply Center is open:                                                                  Internal Use Only

           Monday-Friday 8:30am - 5:00pm                CTA Member/Non-Member Number: _____________/______
           (916) 373-3567 or (800) CTA-SAVE


Date of Order: _____________________________________                         Non-Member                    CTA Member

SHIP TO:
Company Name/Individual: __________________________________________________________________________________________________
Shipping Address: __________________________________________________________________________________________________________
City: ________________________________________          State: ________________________                             Zip: ______________
Attention: ____________________________________        Telephone: _________________________________________________________
E-mail: ______________________________________          Fax: ___________________________________________________________________
Will-Call (Print): _______________________________      Will-Call (Signature): _____________________________________________________

BILL TO:
Company Name/Individual: __________________________________________________________________________________________________
Billing Address: ____________________________________________________________________________________________________________
City: ________________________________________          State: ________________________                             Zip: ______________
Attention: ____________________________________         Purchase Order No.: _____________________________________________________

METHOD OF PAYMENT:                   Bill/Invoice       Check/Cash           VISA/MC
VISA/MASTERCARD# ________________________________________________________                                  Exp. Date: _____________
Name as it appears on card: _____________________________________________________________________________
Check Number: _____________________             Check/Cash Amount: ____________________                    Total: $________________



  PRICES EFFECTIVE STARTING MARCH 2008 AND ARE SUBJECT TO CHANGE WITHOUT NOTICE.
  Minimum product order is $7.50.
  -Customers will be responsible for shipping charges due to error in address or ZIP codes. Returns must be made within
   90 days of purchase.
  *CTA members in good standing will be invoiced.

                                   APPLICABLE SALES TAX AND DELIVERY CHARGES APPLY




                                                                                                                 Page 1 of 4
MAINTENANCE PRODUCTS                                                                                   PRICING

QUANTITY                                                                                                      NON-
ORDERED ITEM NUMBER                                                                                  MEMBER MEMBER
         C1951      Vehicle Inspection Walkaround Poster (8.5 X 11) Adhesive                            $2.00   $3.85
         CTA23      Driver's Inspection Report (Single)* - 50 sheets per book                           $2.00   $2.75
         CTA23A     Driver's Inspection Report (Duplicate) - 31 sheets per book                         $1.70   $2.70

           CTA23B         Driver's Inspection Report (Triplicate) - 31 sheets per book                  $2.45          $3.45
           L0040          Summary of Size & Weight Limits                                               $1.00          $3.00
           PMF-396        Preventive Maintenance Kit - (includes a single copy of marked items*)        $2.40          $4.40
           PMF-396.21     Vehicle Inspection Record* - pad of 50                                        $3.00          $5.00
           PMF-396.21A    D.O.T. Inspection Sticker*                                                    $0.25          $0.50
           PMF-396.21B    Clear Acetate Cover                                                           $0.25          $0.50
           PMF-396.3      Systematic PM File Folder*                                                    $0.90          $1.70
           PMF-396.4      Trailer Inspection Record* - pad of 50                                        $3.25          $5.25

SAFETY COMPLIANCE PRODUCTS
         272H        Forklift Operator Training Handbook                                                 $2.75         $4.75
         BIT         Biennial Inspection of Terminals (BIT) Kit                                         $39.00        $78.00
         BMC-59W     Driver Daily Log Books (Duplicate) - With DVIR                          1-9      $1.00/ea      $1.50/ea
                                                                                            10 +      $0.80/ea      $1.20/ea
                                                                                            100+      $0.65/ea      $0.95/ea
           BMC-59         Driver Daily Log Books (Duplicate) - Without DVIR                  1-9      $0.85/ea      $1.05/ea
                                                                                            10 +      $0.65/ea      $0.85/ea
                                                                                            100+      $0.60/ea      $0.80/ea
           BMC-60         Driver Daily Log Books (Triplicate)                                1-9      $1.45/ea      $2.00/ea
                                                                                            10 +      $1.25/ea      $1.75/ea

           CO-870         Federal Motor Safety Regs. Handbook (pocket sized)               1 - 25     $3.60/ea      $5.60/ea
                                                                                          26 - 49     $3.40/ea      $5.40/ea
                                                                                             50+      $2.80/ea      $4.80/ea
           CO-870A        Federal Motor Safety Reg. Management Edition                                  $11.55        $15.55
           CO-880         Truck Drivers Handbook                                                         $3.40         $6.25
           CO-890         Facts for Drivers                                                              $4.25         $6.25
           FA-172-H       Drug & Alcohol Testing: Training and Awareness Handbook             1-50       $3.00         $4.00
                          Driver Handbook                                                     51 +       $2.50         $3.50
           MVAR           Motor Carrier Accident Register                                               $11.26        $14.00
           SA-1           Basic Fleet Safety Program                                                    $10.00        $15.00
           SCVC           State of California DMV Vehicle Code Book                                     $11.00        $12.00
           TITLE 13       Title 13 (CHP Regulations as they relate to motor carrier safety regs)        $15.00        $30.00
           VAK            Vehicle Accident Kit w/Camera & Forms                               1-11   $18.22/ea     $22.35/ea
                                                                                             12-47   $15.24/ea     $19.24/ea
                                                                                               48+   $12.79/ea     $17.79/ea
           WAGE           Wage and Hour Handbook                                                        $25.00        $35.00

HAZARDOUS MATERIAL BOOKS AND INFORMATION
        CFR-49       CFR 49-Code of Federal Regulations (Parts 100-185)                                 $35.00        $40.00
        CO-980       Emergency Response Guidebook (5 x 7)                                  1 - 25     $8.95/ea     $10.95/ea
                                                                                          26 - 49     $7.95/ea      $9.95/ea
                                                                                            50 +      $6.50/ea      $8.50/ea
           CO-980A        Emergency Response Guidebook (pocket size)                       1 - 25     $3.10/ea      $5.10/ea
                                                                                          26 - 49     $2.95/ea      $4.95/ea
                                                                                            50 +      $2.80/ea      $4.80/ea
           CO-990         Handling Hazardous Material (8.5 x 11)                                        $17.30        $23.00
           CO-995         Driver's Guide to Hazardous Material (pocket size)                1-25      $5.20/ea      $6.20/ea
                                                                                          26 - 49     $4.70/ea      $6.70/ea
                                                                                            50 +      $4.50/ea      $6.50/ea




                                               FAX (916) 371-7558 OR
                                               CALL 1-800-CTA-SAVE                                               Page 2 of 4
                   HAZARDOUS MATERIAL BOOKS AND INFORMATION                                     PRICING
QUANTITY        ITEM                                                                                    NON-
ORDERED       NUMBER                                                                         MEMBER MEMBER
            HAZMAT TABS Hazardous Materials Tabs (500 tabs per roll)                            $26.60    $40.00
            HAZMAT      Hazardous Materials Load and Segregation Chart (8.5 x 11)                $1.00     $3.00
            HM181 Lbl   Hazardous Materials Labeling Chart (8.5 x 11)                            $1.00     $3.00
            HM181 Plcrd Hazardous Materials Placarding Chart (8.5 x 11)                          $1.00     $3.00
            C1010       Hazardous Materials Loading & Storage Guide (8.5 x 11) Adhesive          $2.00     $3.85
            C1046       Hazardous Materials Chart (8.5 x 11)                                     $1.00     $3.00
            C1046A      Hazardous Materials Chart (8.5 x 11) Adhesive                            $2.00     $3.85
            PROP 65     California Proposition 65 Warning - stickers (10 x 10)          1-5   $2.50/ea  $4.10/ea
                                                                                        6-9   $2.25/ea  $3.95/ea
                                                                                        10 +  $2.00/ea  $3.80/ea
            PROP 65A    California Proposition 65 Warning - Facility Signs (24 x 18)             $7.00    $10.00

DRIVER QUALIFICATION FORMS AND EMPLOYMENT INFORMATION
         CTA-1229      Driver Proficiency and Authorized Vehicles* (set of 50)                   $2.50         $4.50
         SA-1A         Driver Qualification Kit - (includes a single copy of marked items*)      $3.75         $5.75
         SA-50         Driver Qualification File Folder*                                         $0.70         $1.00
         SA-51         Application for Employment*                                               $0.61         $1.10
         SA-52         Medical Examination Report*                                               $0.60         $0.95
         SA-53         Written Examination for Drivers* (includes scoring key)                   $0.65         $0.95
         SA-54         Record of Road Test* - pad of 50                                          $3.00         $4.50
         SA-55         Certificate of Road Test/Written Examination (File Copy)* - pad of 50     $1.75         $3.75
         SA-56         Motor Vehicle Driver's Certification of Violation's* - pad of 50          $2.00         $3.75
         SA-57         Driver Data Sheet (for casuals & temp. employees)* - pad of 50            $2.75         $4.75
         SA-58A        Medical Examiners Certificate (Wallet Size)*                              $0.25         $0.45
         SA-58B        Certificate of Road Test (Wallet Size)* - pad of 50                       $6.50         $8.00
         SA-58C        Certificate of Written Examination (Wallet Size)* - pad of 50             $6.50         $8.00
         SA-59         Request for Information from Previous Employer* - pad of 50               $4.00         $6.00
         SA-61         Certificate of Driver Qualification (Wallet Size)* - pad of 50            $4.00         $7.00
         SA-62A        Report of Traffic Conviction by a Commercial Driver* (pack of 25) 3ply    $5.00         $9.00
         SA-62B        Notice to Drivers & Certificate of Compliance* (pack of 25) 2ply          $5.75         $8.00
         SA-66         Medical Release* - pad of 50                                              $3.00         $5.00
         SA-67         Authorization to Release Drug/Alcohol Test Results*                       $0.15         $0.30
         SA-68         Request for Safety Performance History* - pad of 50                       $4.00         $6.00
         I-9           Employment Eligibility Verification                                       $0.25         $0.45
         IR-203        Employee Exit Interview (set of 50)                                       $3.00         $5.00


RAND Mc NALLY MOTOR CARRIERS' ROAD ATLAS
         MCRATLAS     Road Atlas - United States - Canada - Mexico                              $19.95        $25.00


QUANTITY        ITEM                                       Internal Use Only                               PAGE
ORDERED        NUMBER                                  SPECIAL ORDER ITEMS                                NUMBER




                                        Ask About Special Orders
                                         CALL 1-800-CTA-SAVE                                             Page 3 of 4
                                                                                      NON-
               MINIMUM ORDER OF 25 MIX OR MATCH                           MEMBER     MEMBER
PL       Diamond Placards - 200lb. Poly-coated, non adhesive tagboard       $0.60/ea  $0.85/ea
PSR      Diamond Placards - 4 mil. Vinyl with removable adhesive            $0.85/ea  $1.10/ea



QUANTITY ORDERED                                                               ITEM NUMBER
          DANGEROUS                                                     PL1           PSR1
CLASS 2
          FLAMMABLE GAS 2                                               PL8         PSR8
          NON-FLAMMABLE GAS 2                                           PL3         PSR3
          OXYGEN 2                                                      PL16        PSR16
          POISON GAS 2                                                  PL12        PSR12
          INHALATION HAZARD 2                                           PL25        PSR25
CLASS 3
          FLAMMABLE 3                                                   PL2         PSR2
          COMBUSTIBLE 3                                                 PL9         PSR9
          HARMFUL STOW AWAY FROM FOODSTUFF (PG III 6)                   PL18        PSR18
CLASS 4
          FLAMMABLE SOLID 4 - WATER REACTIVE                            PL13        PSR13
          FLAMMABLE SOLID 4                                             PL14        PSR14
          DANGEROUS WHEN WET 4                                          PL19        PSR19
          SPONTANEOUSLY COMBUSTIBLE 4                                   PL22        PSR22
CLASS 5
          OXIDIZER 5.1                                                  PL6         PSR6
          ORGANIC PEROXIDE 5.2                                          PL15        PSR15
CLASS 6
          POISON 6                                                      PL5         PSR5
          TOXIC 6                                                       PL23        PSR23
          INHALATION HAZARD 6                                           PL26        PSR26
CLASS 7
          RADIOACTIVE 7                                                 PL7         PSR7
CLASS 8
          CORROSIVE 8                                                   PL4         PSR4
CLASS 9
          MISCELLANEOUS                                                 PL21        PSR21
          MARINE POLLUTANT                                              PL20        PSR20




                                      Ask About Special Orders
                                       CALL 1-800-CTA-SAVE                          Page 4 of 4