Road Safety Week - Order Form

NSC Membership No:
Org GST No:
Name Of The Person : *
Designation :
Name Of Organization :
Email : *
Fax No. :
Postal Address :
Pin Code:
Dist.  :
State:
Tel.phone No.:
Mobile.  :
1) Collection Discount : 5% Discount will be applicable on 'Cost of the Materials' only if the material is collected from the council's office .In case you are collecting the materials please select 'Yes' or 'No'.
2) All prices are inclusive of packaging and freight charges.
3) NSC GST No: 27AAATN3069N1Z4
Collection of Materials
Quantity Required Details
Item Code Promotional Items Price Per Item [Rs.] Quantity Amt. Collection Discount
[Refer T & c for Applicability]
NET Cost GST Total Amount
BILLINGUAL ENGLISH HINDI Total Quantity Discount
(%)
Discount
Amount
NET Cost % Amount
1 CLOTH BANNER 310 0 0% 5%
2 CAP 70 0 0% 5%
3 RSW BADGE (with road Safety Theme) (HSN 4909) (Order should be in multiple of 100no.) 300 0 0% 12%
4 CLOTH BANNER (12 feet * 3 feet ) with road safety Theme (HSN 6109) 320 0 0% 5%
5   POCKET GUIDES (2 Colour & 4 Colour Laminated) (HSN 4909)
55016 Vehicular Pollution 40 0 0% 12%
55117 Defensive Driving 40 0 0% 12%
6   ROAD SAFETY POSTERS (4 Colour on Art Paper) (50 cms * 75 cms) (HSN 4911)
65173B Educate Drivers/Helpers to Take Correct Action in Transport Emergency (Bilingual) 100 0 0% 12%
65303B Do Not Use Cellphone while Driving (Bilingual) 100 0 0% 12%
65312B Be a Good Samaritan, Help Accident Victim (Bilingual) 100 0 0% 12%
65318B Follow Road Safety Norms While Transporting Materials (Bilingual) 100 0 0% 12%
65319B Use Cleaner Fuels and Beat Air Pollution (Bilingual) 100 0 0% 12%
Cost Of Material :-

Payment Option (In favour of National Safety Council)

Check/Demand Draft along with copy of this duly filled-in form to be sent to
The Director General, National Safety Council
Plot No.98-A, Institutional Area,
Sector 15, CBD Belapur,
Navi Mumbai - 400 614
Enclosed DD Number *
Drawn On(Bank and its branch) *
Amount *
Date *

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