SECURE ORDER FORM
Mail or Fax the completed form to The Public Safety Group
Public Safety Group •
PO Box 7438 •
Edmond, Oklahoma 73083-7438
TOLL FREE (877) 794-9389 •
FAX (405) 359-6095
If you prefer to mail or fax your form,
click here
for a printable order form.
Ship To :
Date :
Customer Name :
Agency :
Address :
Address 2 :
City :
State :
-- Please Choose --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip :
Phone # :
Fax #:
E-Mail Address:
METHOD OF PAYMENT:
PO Number
Check For The Amount Of
payable to
The Public Safety Group
.
(U.S. Funds ONLY)
Credit Card
CC Type
VISA
MASTERCARD
Expiration Date
--
01
02
03
04
05
06
07
08
09
10
11
12
/
--
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Credit Card Number
By submitting this form you agree that you are both the authorized card holder, and that you
authorize The Public Safety Group to charge the amount shown upon receipt.
(Shipping & Handling included in the product price.
Please allow 1–2 weeks for delivery)
Quantity
Product
Price Each
SubTotal
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
CTO Program Reference Manual
$149.00 each
$
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Policy & Procedure Reference Manual
$149.00 each
$
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
CTO Program Reference Manual and
Policy & Procedure Reference Manual
$249.00 each set
$
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
When Seconds Count
®
$468.00/year each
$
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Certification
$
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Basic Training Program Manual
$ 39.00 each
(add
$ 6.00 s/h)
$
TOTAL
$
MAIL OR FAX YOUR ORDER FORM & PAYMENT TO:
The Public Safety Group
PO Box 7438 • Edmond, Oklahoma 73083-7438
FAX (405) 359-6095
Thank you for your order!
©2000 - 2008 The Public Safety Group, Inc.