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Home My WebLink About193090 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00351415 Page 1 of 1 ONE CIVIC SQUARE FIRE DEPARTMENT TRAINING NETWORK CARMEL, INDIANA 46032 PO BOX 1852 CHECK AMOUNT: $18,500.00 INDIANAPOLIS IN 46206 CHECK NUMBER: 193090 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 24164 18,500.00 �IREElGNi�S� FIRE DEPARTMENT TRAINING NETWORK ORDER FORM 9 Name: y P V nS KJ N L Rank/Title: Department/Agency: A VPA E C T k�__ P A 21 N1 E N_r Address: Z C 0— O Residential O Commercial Citv: CA P-mE L- Mate: I Zip: "1 b 3 Z Country: V S Phone: 3 �'1 S7 1 —Z L-0 Fax: E -mail: i\kUvSkA 1 @Cap Mrs. I n g o MEMBERSHIP individual Annual .........................$48.00 Dep.trtnent Annual ........................S240.00 B OOKS Price Members FireNotes Firefighter Survival .........................$24.95 S19.95 FireNotes Firo ighter Rescue and R II 34.95 $29.95 FireNotes Fireground Size -Up ........................$24.95 $1995 FireNotes Stretching Operating the First Linc ..............$24.95 S19.95 FireNotes- Thcrnutl Imaging for life Fire Scrvice ..............$24.95 $19.95 FireNotes Fire-,round Search +24.95 S19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 En-ine Company Operations -Training Drills ....................599.00 589.00 Truck Company Operations Training Drills ......................$99.00 589.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RiT Training Drills .........................599.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD— Rapid Intervention Teams ........................$129.95 589.95 *"Firefighter Survival Combo (FircNotc /DVD) ................$89.00 575.00 "Firef`ighter Survival Set (FircNote/ DVD /Drills) $179.00 $149.00 *RiT Combo (FireNote /DVD) ........................$145.00 599.00 *RIT Set FireNote/i:)VD/ Drills) .......................$235.00 S175,00 "Shipping handling is S7.95 per order plies $1.50 per book—/)VI). No shipping charge applies to membership or course regisu' Add fo in d e li very. i SHIPPING* COURSE REGISTRATION COURSE G r j L itj E Cb D 6,tP TI D N DATE: CANCELLATION POLICY: Canrcllahiims must br. made in writing and scm w FDTN, P0. Hox 1852, Indianapolis, IN 46206. In life event of can I p o t cellation the Course Reeisnatiun Fer will be miboded (less 20% adminisuadve fee) if written notice is received by 1U N at least 15 days prior to the start TOTA D O of the course. Registration fees for cancellation made within 15 days or Na 'the course are non- refmrdable. me changes 'are p erntiacd with no charge. I PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order— Number: 1 Credit Card (0 iNasterCard 1 VISA 1 AMEX Card Number: Exp. Date: Signature: 06/09 �u xtx ��frGSAVESI FIREFIGHIEBS F I E TM T I F D Name: RanW7'itle: f) ILL- 5 A Department/Agency: Address: y e S j k4tLc_ O Residential 0 Commercial City: State: Zip: 2 Country: 6 5 4 Phone: 5 --7 D D Fax: E -mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Fireground Size -Up ........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Firefighter Survival ........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 *Complete FireNotes Set (all 5 titles) ........................$119.00 $89.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Dr ills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 **Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 **RIT Set (FireNote/ DVD /Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery. S HIPPI NG* COURSE REGISTRATION COURSE: 6 r_�" 1 Anti o all 2 DATE: 9u,,VZ 3 /s2a /l CANCIi:LLATION POLICY: Cancellations must be made in writing and sent to FUN, P.O. Box 1852, Indianapolis. IN 46206. In the event of can- cellation the Course Registration Fee will be refunded (less 2091, administrative fee) if written notice is received by FDTN at least 15 days prior to the start TOTAL p of the course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge: PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: L Check enclosed 0 Department Purchase Order Number: L Credit Card (0 MasterCard L VISA 0 AMEX Card Number: Exp. Date: Signature: 0 1•�• t 0 i� i �t 'r Ir :r 'r :r 'r: 06 /09 FIflEFIGNiEflS�' F1'aE TRAINING ORDER FORM Name: T C eZ�� Rank/Title: Department /Agency: Address 02 V I C L Residential 9 City: State: Zip: Country: te_70 11 Phone: Fax: 51 E -mail \1 6C ra, 5=0S Q C'*L("te 6 MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Fireground Size -Up ........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 *Complete FireNotes Set (all 5 titles) .......................$119.00 $89.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams .......................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) .......................$145.00 $99.00 *RIT Set (FireNote /DVD /Dr ills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus 1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery:. SHIPPING* COUR R EGISTRATION 2011 COURSE: L 9CX- ,O*f770AUS DATE: 1 3 t4 F CAN n Indianapolis, CELLATION POLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indiana IN 46206. In the event of can- the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start hQ hAL ourse. Registration fees for cancellation made within 15 days of the course art non refundable. Name changes ar e permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card 0 MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: 06/69 ��K� IVEf'/ �WNINp �IREfIGNiEfls FIRE DEPARTMENT TRAINING NETWORK ORDER FORM �D Name: EA Rank/Title: r- Department /Agency: Address: CC.. l2 1 y O Residential Q Commercial City: �/�'l t State: Zip: �nQ,3 6 Country: Usib. Phone: J, (0a) Fax: 5 E -mail d pqddoc k'd cj�. +r me l MEMBERSHIP i n, z o v Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Firefi�,,hter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 *Complete FireNotes Set (all 5 titles) ........................$119.00 $89.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT— Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 **Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD/Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 :r *RIT Set (FireNote /DVD /Dr ills) ........................$235.00 $175.00 *Shipping hatidling is $7.95 per order plus 1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for international delivery. SHIPPING* COURSE REGISTRATION COURSE: F AG C -ou��y �I�� DATE: F_Ihn C,,1NCFLUVF10N POLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indianapolis, IN 46206. In the event of can- ion the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the star course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge. TOTAL PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed L Department Purchase Order Number: CI Credit Card L MasterCard L� VISA 71 AMEX Card Number: Exp. Date: Signature: maul as ��It1GSAV�'� /y DE an IMENY FI P YRA F y6eD ORDE FORM moo.. Name 4ecG 74;'64 Rank/Title: rrp Department/Agency: Address C t -:57�, Le e O Residential O Commercial City: L State: TA Zip 4 14 d 3 Country: GL 5A Phone Tax E-mail: _b T!Sn,? rc_r.►,el rrt y° d MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 ROOKS Price Members FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 "Complete FireNotes Set (all 5 titles) ........................$119.00 $89.00 Engine Company Operations Tranung Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ..................$129.95 $89.95 Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD /Drills $235.00 $175.00 *Shipping.& handling is $7:95 per orderphrs $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery. SHIPPING* COURSE REGISTRATION COURSE: LLvi I Z f-A-C J/ DATE:./w J3 14 (10 7—c CANCELLA'rrON POLICY: Cancellations must be made in wrVng and sent to FDTN, P.O. Box 1852. Indianapolis, IN 46206. In the event of can- cellation the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start of the course. Registration fees for cancellation made within 15 days of the course are non refundable Name changes are permitted with no charge. TOTAL —1, PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: L Check enclosed L Department Purchase Order Number: 0 Credit Card Q MasterCard L VISA 0 AMEX Card Number: Exp. Date: Signature: was .t i� 't I t :t 't f os ��tIGSAV�� F�AEF��NRS�� FIRE DE TRAINING NETWORK ORDER FORM F Name c Rank/ Title Department/Agency: Address O Residential /Commercial City: C14 yi'l t State: Zip: Country: Phone: 5 7/ 1�2 0,o Fax: E -mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Fireground Size -Up ........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 *Complete FireNotes Set (all 5 titles ............................$1 19.00 $89.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FlreNote/DVD) ........................$145.00 $99.00 *RIT Set (FireNote/ DVD /Drills) ........................$235.00 $175.00 *shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery. SHIPPING'r COURSE REGISTRATION COURSE: ry C 60, DAT F the CI LLATION POLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1852. Indianapolis, IN 46206. In the event of can- ti on he Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start TOTAL S oQ course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: L Check enclosed L Department Purchase Order Number: L� Credit Card 0 MasterCard 71 VISA Cl AMEX Card Number: Exp. Date: Signature: 1•t. 1 it t •t It :t 't t :t 't: gib, csav FIR HPARTMENT SAINING NENORK ORDER FORM F1kE�lGG1EflS�' i y i A Name: v�' E� Rank/Title: F" Department /Agency: �G F, r c' Address V l 5 -C C L Residential Q Commercial crran City: C State: Zip: Country: Phone: _3/ D k Fax• E -mail e MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Fireground Size -Up .........................$24.95 $1.9.95 FireNotes Stretching Operating the First Line.. $24.95 $19.95 FireNotes Thermal Imaging for the Fire Service... ..........$24.95 $19.95 FireNotes Firefighter Survival ........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 *Complete FireNotes Set (all 5 titles) ........................$119.00 $89.00 Engine Company Operations Training Drills ...................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills_ ............_............$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams_ ..........._............$129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Fire Fighter Survival Set (FireNote/ DVD /Drills) ..$179.00 $149.00 *'BRIT Combo (FireNote/DVD) ........................$145.00 $99.00 "RIT Set (FireNote/ DVD /Drills) .............$235.00 $175.00 '"Shipping I>andling is $7.95 per orderplits.${ per book/DVD,.: No shipping�chacge applies to rpernli rship.or course registration., Add $5.60 for International delivery. SHIPPING* COURSE REGISTRATION COURSE: Wa C ,o .5- DATE: J �nq F NCCLLA'P1. 0N POLICY: Cancellations must be made is writing and sent to FDTN, P.O. Box [852, Indianapolis, IN 46206. in the event of can- alion the Course RegiS=1on Fee will be refunded (less 20%a administrative fee) if written notice is received by FDTN at least l5 days pdorto the start 4;5 a course. Registration fees for cancellation made within 15 days of the course ace non-refundable, Name changes are permitted with no charge. TOTAL PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed Q Department Purchase Order Number: I Credit Gard (C7 MasterCard CI VISA CI AMEX Card Number: Exp. Date: Signature: 0 6 t, t 0 46/04 vww,xQ FIRE HPARTMENT TRAINING NETWORK ORDER FORM fIRSfIGN1ESS F D Name: JC-�:C K Rank/Title: Department /Agency: Address: v L /a O Residential l Commercial City: elG�t State: J �J Zip: -25 Country: Phone: 3 /7 Fax: E -mail: t i t1 yx e cl LG4t urvel I ct MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Fireground Sire -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.9.5 *Complete FireNotes Set (all 5 titles) .......................$119.00 $89.00 Engine Company Operations Training Drills $99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills ...................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival ..$74.95 $69.95 DVD Rapid Intervention Teams........_ ..................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo FireNote /DVD ...............$145.00 $99.00 *RIT Set (FireNote/ DVD /Drills) ........................$235.00 $175.00 *Shipping handling.iss$7.95 per order alas $1.50 per book/DVD. hto shipping charge applies to membership or course registration..Add $5.00 for International delivery. SHIPPING* COURSE REGISTRATION COURSE: e '<0- a 6 5 Z– DATE: CAtNCELLA NON POLICY: Cancellations mustbe made i writing and sent to FDTN; P.O. Box 1852, Indianapolis, IN 46206. In the event of can cellation the Couise Registration Fee will'be refunded (less 20% A 11 istrative fee) if written notice is received by FDTN at least 15 days prior,to the start of the course..Registratitm fees for cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge. TOTAL PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 71 Check enclosed L1 Department Purchase Order Number: I Credit Card 0 MasterCard C1 VISA 0 AMEX Card Number: Exp. Date: Signature: Y /•r. t d :I r .r1 'Y #r :r r r :t 'ri 0 4 /10��GShY�r�� ,ww. FIREfIGNif�S FIRE DEPARTMENT TRAINING NETWORK FORM Name: r(6bA4 (044y Rank/Title: f Department/Agency: E(k Address 6a L Fa5fi O Residential /0'Commercial City: keo State: I N/ Zip: �96 V Country: 7 /y Phone: 5 n 5 S `60 V Fax: E -mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 B OOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service... $24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue R1T Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 *RIT Set (FireNote/ DVD Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per orderplus $1.50 per book/DVD. No. shipping charg applies to m embe r ship or cours regi Add $5.00 f or I ntcr n abo nal deliv Sf"PING* ®IJrtSE REGISTRATION COURSE: J_c.t�- s DATE: altl. 901L) CANCELI:ATIO V POLICY.- Cancellations must be'made in writing art sent to I'DTN, P- 0.13ox 1652, Indianapolis, IN 46206. In the event of ean- cellation he Course RegiStrationFee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days poor to the start TOTAL of the course. Registretianfiees for cancellation made within 15 days of the course are non refundable. Name changas are penniabd with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: I Check enclosed 0 Department Purchase Order Number: Q Credit Card (O MasterCard O VISA D AMEX Card Number: Exp. Date: Signature: P.O. p. FIRE DEPARTMENT TRAINING NETWORK ORDER FORM PF0114 0 Name: a /N Rank/Title: Department/Agency: C_T,N Address: 0; t��Z� i Q Residential l CJ Commercial 0 City State: Zr 7_ U p: (p�� Zi o� Country: Phone 3 �7 6� C�.00 Fax E -mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firelighter Rescue and RIT .........................$34,95 $29.95 *Complete FireNotes Set (all 5 titles ............................$1 19.00 $89.00 Engine Company Operations Training Dri lls ....................$99.00 $89.00 Truck Company Operations Trainin,= Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *"Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD /Drills) ....$179.00 $149.00 *RIT Combo (FireNote /DVD) .......................$145.00 $99.00 *RIT Set (Fire Note/ DVD /DrilIs) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to' membership or course registration. Add $5.00 for Tnteruationai delivery. SHIPPING* COURSE REGISTRATION COURSE: L C©,'Z- Z• A DATE: SAO CANCELLATION POLICY: Cancellations must he made in writing an sent to FDTN, F.O. Box 1852, ladinnapohs, IN 46206. In the event of cam- v� celiation the Course Registration Fee will be refimded (less 20% adminisualive fee) if written notice is received by FDTN at least 15 days prior to the of the course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge. TOTAL PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: n Cheek enclosed 0 Department Purchase Order Number: 7 Credit Card (O MasterCard O VISA C1 AMEX Card Number: Exp. Date: Signature- 9 1 FIRE DEPARTMENT TRAINING NETWORK ORDER FORM 9D i Name: Csi�� ti �l2 Rank/Title CA 0-� Department/Agency: A -0- OVI? O`Residential O; Commercial Address: 2 C 'y f C. `;Ci Z� Zi p: �3 Count City: St ate p: r3': Phone: Fax: E -mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS 'rice Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Firegropnd Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24,95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills $99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD/Drills) $179.00 $149.00 *RIT Combo (FireNote/ DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD/Drills) ........................$235.00 $1.75.00 Shippipg &handling -is $7.95 per order plus $'1.50 per book/DVD. No shipping charge applies,to memb;;rship or course registration. Add $5.00 for lnternadonar delivery. SHIPPING* COURSE REGISTRATION 3 COURSE; DATE;: CANCELLATION O CY- Cancellations most be made in writing and sent io FDTN, F0. Box 1852, Indianapolis, IN 46206.Inthe even[ of un- �C cellahon the "Cnone Reg[sir1.6'w'Fee wdI'lie'refunded (less 20% administrative fee) if written notice is rcceived'by FDTNat Imst 15 days prior to the stan TOTAL a or course Regif[ra[ion fees for cancellation -made within 15 days of the course arc non refundable. Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: C3 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (0 MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: E«��s FIRE DEPARTMENT TRAINING. NETWORK ORDER FORM C Name: tv J.— S 1 42 Rank/Title: Department/Agency: I'2 1 Address i 1 V l C� CJ 11 Residential O'Commercial City: State: �J �r% C3 Country: ry: Phone: r)L Fax: E -mail: MEMBERSHIP Individual Annuai Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills $99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD/Drills) $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote DVD/ Drills) ........................$235.00 $175.00 *Shippigg 8i' handling is $7.95 per ordert;plus $9.50 per No shipping chaege applies -to mernber or course registration. Add $at delivery. SHIPPING* COARSE REGISTRATION COURSE: Cs>u N: Cf?5 DATE 'CANCELLATION PO CY. Cahcellattonv mutt be mudein writing end seat to FDTN P.O. box 1852, lndianapolis, IN 4006.1n the event of can tellanon the Codrse RegistralichTee w11 'k refunded:.(less 20% administrative fee) if written notice.is received by FDTN at least 15 days prior to the start TOTAL of dte cou=Akegtstration €em' hr cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card ([]MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: I t �fREE�GN�E CD FIRE DEPARTMENT TRAINING NETWORK ORDER FORM Name: Rank/Title '�.1C Department/Agency: C A VL m Address: C] Residential O Commercial I V f C �Ci City: State: Z J Zip: Country: c f �l i Fax: E-mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24,95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD/Drills) $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD/Drills) ........................$235.00 $175.00 *Sh�8, handling is $7.95 per order plus $1.50 �$500 /DVD. SHIPPING* No shipping charge arnemfi"ership or course registration. Ador Internati onal delivery. COURSE REGISTRATION COURSE: C t�5 DATE: FC ELLATIOIN PO CV: Cancellaiions must be made in writing and sent to FDIN, P.O. Box IM, Indianapolis, IN 46206, In the deal of can• the C In the start ourse Rcguuation Feeslforeancdlalion made within IS days of be cuursa an non- refundable. Name changes azc pe mined wilt nq TOTAL charga. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number; 0 Credil Card 0 MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: .ww. FIRE DEPARTMENT TRAINING NETWORK ORDER FORM FAD Name: RankMtle: Department/Agency: .4 P_ lM:' Address C 1 y 1 O'Residential O Commercial City: y State. Z� Zip: �t% Country: Phone: Fax: E-mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT ........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams $129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote/DVD/Drills $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD/Drilis) ........................$235.00 $175.00 *Shipping haridling: is $7.95 per order.plus $1.50 per book/DVD. NoShipping charge applies to membership or course registration. Add $5.00 for International delivery. SHIPPING* COURSE REGISTRATION i<`� t2 -cam ?u z -EE COURSE: -tc i N C r DATE: CANCELLATION'BO CV: Cancellations MCI be madcip writing and sent to)DTN. P.O: Box 1952, Indianapolis, IN 4"".lnthe event of can• polauoo tbe'C se Rcgsstrati n Fee will be mfundcd (less 20% administrative 'fee) if written notice is received'by FDTN at teas, 15 days prior wthe San TOTAL Sow of the courst ljigisuauan feesfurtancpllationmade within k5 days of the course are non- rxfundable. Name changes are permi0cd wish no eharga, PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number 0 Credit Card (0 MasterCard O VISA O AMEX Card Number Exp. Date: Signature: �R ia4 F IRE DEPARTMENT TRAINING NC 3 -0 �/j f Name: W r� r e i A Rank/Title: Department/Agency: C cl 2 M 6 L_ 1 r2 -k x Address: �1 �.LL J O Residential 1173 Commercial City: L E Q Im C L State: Zip: Q 3 Z- Country: U SIQ Phone: 3 M 71 2� 0 Fax: E -mail: MEMBERSHIP Individual —Annual .........................$48.00 Department Annual ........................$240.00 ROOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter ,Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search.. $24.95 $19.95 *Complete FireNotes Set (all 6 titles) $139,00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Dri lls ...............I......$99.00 $89.00 Firefighter Survival Training Drills.. .$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival $74.95 $69.95 DVD Rapid Intervention Teams .......................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD/Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 *RIT Set (FireNote/ DVD /Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 fo International delivery. SHIPPING* COURSE REGISTRATTN COURSE: R u G vm Frd )_W .L I ATE: F CANCF LLATION POLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1652, Indianapolis, IN 45206. In the event of can q T tion the Course Registration Fee will be refunded (Im 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start TQTAl I J V W e course. Registrsuon fees for cancellation matte within 15 days of the worse are nun- trfundable. Name changes eve permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: I Check enclosed 0 Department Purchase Order Number: 0 Credil Card (iCl MasterCard O VISA f] AMEX Card Number: Exp. Date: Signature: oa; 1�0 �1t1G$iYES��,r F D f1RIGNi�NS FIRE DEPARTMENT TRAINING NETWORK ORDER FORM Name: D r7 1 o V-C Rank/Title: T Department/Agency: C Address: l _r I� t t- �t�fJGf O Residential O Commercial City: �Gi�"P* State: Zip: Country: Phone: l�5 Phone• S�r/ y� Fax: E-mail: MEMBERSHIP Individual —Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Dril ls ......................$99 -00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams .......................$1.29.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote/DVD/Drills $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD/DriIts) ........................$235.00 $175.00 *Shipping handling is $7 95 per. order plus $1.50 per book/DVD. No shipping charge applies to membership or course,registration. Add $5.00 fordriternational delivery. SH IPPING* COARSE REGISTRATION COURSE: "VtICl< 0M A 4 4 D tf_ �UoVr DATE: 3'0� s o'er /a F CA NCELLATION POLICY- Cancellations must be made in ng and scnt MTN .0. $oz 1852, Indianapolis, IN 462K In the evenrof can tion the Course Regstration Fee will be refunded (less 20% adft nistrative fee)i written notice is received by MIN at least l5 days prior to,ihe scan 0 e coume. Registration fea'for canceltation made within 15 days of the course are non refundable: Name changes are pumined with no charge. TOTAL PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (0 MasterCard 0 VISA 0 AMEX Card Number: Exp, Date: Signature: MAIL TO: Fire Department Training Netw Box 1852 Indianapolis 46206 t K ORDIR FORM FAD FIRE DEPARTMENT TRAINING NETWOR Name: 6 r P _�d W b k, Rank/Title: rijr 1AI G Department/Agency: l av VAS e E i lr'.Q f�ei0` Address: C 0 Residential /Otommercial City: C Nn-e State: :!Z;V Zip: 4 16 03 2 Country: O s 14 Phone: 31 Fax: E -mail: (SO 6u CG r wt e) j MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote/DVD/Drills $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote/DVD/Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery. 1 SHIPPING* COURSE R EGISTRATION COURSE: Tr LJLC C0 K r- DATE: CANCELLATION POLICY: Cancellation rntst be made in writing W sent to FDTN. P.O. Box 1852, Indianapolis, IN 46206. In the went of can- eellation the Course Registration Fee will be refunded pess 20% administrative fee) it written nonce is received by Ffy1N at least IS days poor to the start TOTAL Soo the courm Registration fees for cancellation made within 15 days of the course ate non Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (0 MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: INIAILTO: Fire Department Training Network, RO. Box 1852, Indianapolis, IN 46206 (317) 862-9679 (317) 862-9685 F ►cis FIRE DEPARTMENT TRAINING NETWORK ORDER FOR FAD Name a re M y M u P% e r c Rank/Title: !(�i .a Department/Agency: C a r m e- F ir O r 1 2+, Address 2 C r v• c c(- O Residential O Commercial City: State: .TN Zip: 4 6 d 3 Z Country: Phone: 7 571 Fax: E -mail: �1 •"Ian e i S a) Cow~ 1, ir1. 9C, MEMBERSHIP Individual —Annual .......$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote/DVD/Drills $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote/DVD/Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per,orderplus $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery. SHIPPING* COURSE REGISTRATION COURSE: t, %tee CG^ an G cro.lion T DATE: M-AxZ 3-2 S t CANCELLATION POLICY. Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indianapolis, IN 46206. In the event of can celladon the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to theatan TOTAL o of the course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are pemt4led with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (0 MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: rVlAIL TO: Fire Department Training Network P.O. Box 1852 pt 862-9 �'�,��,y FIRE DEPARTMENT TRAINING CD im�mii NETWORK ORDER FORM Name: I P L I'N Z_ t Rank/Title: Department/ ,4 1L M C F D Address: 7 D d 6 yZ V Residential D Commercial City: p: 3 3 Country: US .�1 72M EL. State: 1 1J Zi ti /�U Phone: _V 7 S 6 LI S u 0 0 Fax: E -mail: 4- U 7 7-4 ,41 t, L MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24,95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24,95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival –Training Drills- .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $8995 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote/DVD/Drills $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote DVD /Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/nVD. No shipping chatrge applies to membership or course registration. Add $5.00 for International delivery. SHIPPING* COURSE REGISTRATION COURSE: C IJ G/ Q C 60 D p S DATE: MA CANCELLATION POLICY: Cancellations must bc made in writing and sent to FDTN, P.O. Box 1852, Indianapolis. ]N 46206. lathe evem of can ccllation the coarse Registration Fee will be refunded (less 20% adnunistrative fee) if wriucn notice is received by FUN at least 15 days prior to the start TO I AL -M. Q of the course. Registration fees for cancellation made within 15 days of the course are non- refundahle. Name changes are Nrmittcd with no charge PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: D Check enclosed D Department Purchase Order Number: D Credit Card (O MasterCard 0 VISA D AMEX Card Number: Exp. Date: Signature: MERUVAMIM 1 111TO, �+uUre t G TRAIN F D Name: Rank/Title: Lk Department/Agency: Address: It O Residential t? Commercial City: Ccx",O'k State: 72:0 Zip: Country: Phone: Fax: E -mail: CD t i4 ;:T MEMBERSHIP Individual Annual .......$48.00 Department Annual .................$240.00 BOOKS Price Members FireNotes Firefighter Survival $24.95 $19,95 FireNotes Firefighter Rescue and RIT $34.95 $29.95 FireNotes Fire-round Size -Up .........................$24,95 $19.95 FireNotes Stretching Operating the First Line ..............$24 -95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24 -95 $19.95 FireNotes Fireground Search. $24,95 $19.95 *Complete FireNotes Set (all 6 titles)._ ........................$139.00 $109.00 Engine Company Operations Training Drills.. $99.00 $89.00 Truck Company Operations Training Drills ...................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89 -00 Firefighter Rescue RIT Training Drills.... $89.00 DVD Firefighter Survival .$7495 $69.95 .DVD Rapid Intervention Teams $129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89 -00 $75.00 *Firefighter Survival Set FireNote /DVD/Drills) $179,00 $149.00 *RTT Combo (FireNote/DVD) ........................$145,00 $99.00 ***RIT Set (FireNote/ DVD Drills) ........................$235.00 $175.00 *Shipping &.handling is $7.95 per order.plus $1.50 per book[DVD- No shipping.chinr&.apphes to!racinbership or course registration -,Add $5.0o• for International delivery. SHIPPING* COURS RE GISTRATION COURSE: V :L DATE: _120 )&D CANCELLATION POLICY Lanaillations must be umde in venting a d sent to FDTN. P.O. Box.1852, Indianapolis, IN 46206. In the event of can- cellation he Course Re is ra on Fee uvdl be refiusded (less 20 �admmistrative fee) if wmtten notice is rece ived by FDTN at least 15 days. prior to the start of the murse. Reeistiauon (ees for cancellatiunmade. within 15days of the course are nun refundable. Name changes are permitted with nocbarge. TO PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: C Check enclosed 7) Department Purchase Order Number: Q Credit Card (O MasterCard O VISA 1CI AMEX Card Number: Exp, Date: Signature: o r o t a f ►RffGfERS TRA INING 9 Name: y- a`` Rank/Title: Department/Agency: Address- U Q Residential Q Commercial City: C- State: Zip: 'y'- Country: Phone:' Q Fax: E -mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ....................$240.00 BOOKS Price Members FireNotes Firefighter Survival... $24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles).... $139.00 $109.00 Engine Company Operations Training Drills..._ ...............$99.00 $89.00 Truck Company Operations -T Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills ._......$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $6995 DVD Rapid Intervention 'Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set (FireNote/DVD/ Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per orderphes $1.50 per book/DVD. LN. shipping charge applies to membership or course registration. Add $5.00 for international delivery. SHIPPING* COURSE REGISTRATION COURSE: cz —n Q DATE: CANCELLATION POLICY: cellations must be made in writing and sent to FDTN, P.O. Box 1$52, Indianapolis, IN 46206. In the event of can- cellation the Course Registration Fee will he refunded (less 205E administrative fee) if written notice is received by FDTN at least 15 days prior to the start TOTAL of the course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: Q Check enclosed C1 Department Purchase Order Number: 0 Credit Card (Cl MasterCard 0 VISA D AMEX Card Number; Exp. Date: Signature: 1• I I a i I l0119.,1;i�SA1�y'�� ww, flpEfIGN1E83 DEPARTMENT T INING NET RK ORDER FORM F y D FIRE Name: Department/Agency: Address O Residential O Commercial City: State: °J Zip* o`er Country: Phone' Fax: E-mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Dr ills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote/DVD/Drills $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD/Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD. LNo shipping charge applies to membership or course registration. Add $5.00 for International delivery. SNIPPING* COURSE REGISTRATION �_6,3 COURSE: �Z-�� DATE: CANCELLATION POLICY: lations must be made in writing and sent to FDTN, P.O. Box 1852. Indianapolis, IN 46206. In the event of can- cellation the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the star TOTAL of the course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (O MasterCard n VISA 0 AMEX Card Number: Exp. Date: Signature: 1•r, t it r� 't t :t t t t :t tt: �IREbf GNiERS F TRA o� Name: Er_iC Rank/Title: Department/Agency: Address: 0 i. !L (�C�Lt�� O Residential l O Commercial City: State: Y A l t 03b Zip: Country: Phone: P 02 Fax: E-mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Fireground Size -Up $24.95 $19.95 FireNotes Stretching Operating the First Line $24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $1995 FireNotes Firefighter Survival ........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 *Complete FireNotes Set (all 5 titles) ......................$119.00 $89.00 Engine Company Operations Training Dri lls ....................$99.00 $89.00 Truck Company Operations Training Drills $99.00 $89.00 Firefighter Survival Training Drills $99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firelighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo FireNote DVD) ........................$145.00 $99.00 *RIT Set (FireNote/DVD/Drills) ....................$235.00 $175.00 *Shipping &handling is $7.95 per orderpl&es $1.50 perbock/DVD: No shipping charge applies to rnernbership or course registration..Add $5.00 for International delivery. SHIPPING* COURSE R COURSE: /ri c&1L C'o 0 pelF +k W15 DATE: CANCELLATION POLICY: Cancellations must be made in writing and sent to FDTN, P.0.13ox 1852, Indianapolis, IN 4620b In the event ofcan- cellar on the Course Regtsuation Fce willbe refunded (less 2090 administrative €cc) if written notice is received by FDTN at least 15 days prior to the stanjy*1 of the course. Registration fees for cancellaton made within 15 days of die course are non- refundable. Name changes re permitted with ao charge. TOTAL ��wy PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 71 Check enclosed Q Department Purchase Order Number: 71 Credit Card (L MasterCard O VISA 9 AMEX Card Number: Exp, Date: Signature: :r r: FIRE DEPARTMENT TRAINING FO RM Name: 6 %S �gw Rank/Title: Department/Agency: C ,4 W U F Address J T D Residential O Commercial City: C .�u�L State: Zip: j 4 W Z Country: Phone: 3 7l Z6 cIz) Fax: -mail: f' Cia-n Ca�m�t ✓r MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Fireground Size -Up $24.95 $19.95 FireNotes Stretching Operating the First Line, $24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Firefighter Survival .........................$24,95 $19.95 i FireNotes Firelighter Rescue and RIT .........................$34.95 $29.95 ***Complete FireNotes Set all 5 titles lg. $89. Engine Company Operations Training Drills ...................$99.00 $89.00 Truck Company Operations "Training Drills $99.00 $$9.00 Firelighter Survival Training Drills .........................$99.00 $89.0(} Firefighter Rescue R1T Training Drills .........................$99.00 $89.00 DVD Firefighter Survival- ........................$74,05 $69.95 DVD Rapid Intervention Teams .......................$127.9.5 $89.95 *Fire righter Survival Combo (FireNote /DVD) ................$89.0() $75.00 *Firefighter Survival Set (FireNote/ DVD /Drills) $1.79.00 $149.00 ***RIT Combo (FireNote /DVD) .......................$145.00 c $9�.i)U `k* *RIT Set FireNote /DVD /D rills ..........$2 $175.00 "Shipping Handling is $7.95 per order plus $1.50 per book/DVD. RIo shipping zarg applies to mernbe or course registration. AW$5.00 for International delivery. SHIPPING* COURSE REGISTRATION CO URSE: gQ(.e Co A- V DATE: CANCCLL'ATION POLICY: Cat ceHhions must ba made in.writing and senttn FDTN, P.O. Box 1852, lndianapnlis, IN 46206.1¢ the even o[can- ceilation the Course Registration Fee will be refund -d (less 20% adininislrahve fee) if written notice is received by. FDTN at least 15 days pr or to the start of the coarse..l2egistrution fees for cancellation nmde within 1 5 days of t course a no n ref undabl e 'Name changes ace perituned with no charge. TOTAL S o o PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 71 Check enclosed 0 Department Purchase Order— Number: 11 Credit Card (O MasterCard II VISA CI AMEX Card Number: Exp. Date: Signature: ��NIN�SAVeS I /D fIREfIGN1ERS� FIRE DEPARTMENT TRAINING NETWORK ORDER FORM f1M �-Q� Name: n Rank/Title: ►t�tC,h�Ce' o C Department/Agency: Crh, C� crM&( T'rr Address C lu l C �T ueC r O Residential 10 Commercial Citv• C4,Mc. State: Jfu Zip: Country: ETA Phone• Fax: E- mail C, Q�ti n(� c��.j to c MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes FlregrOUnd Size -Up .........................524.95 $19.95 FireNotes Stretching Operating the First Line ..............524.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 S19.95 FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 529.95 *'''Cornplete FireNotes Set (all 5 titles ............................$1 19.00 $89.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 ;89.00 DVD Firefighter Survival .........................$74.95 $6995 DVD Rapid Intervention Teams ........................$129.95 $89.95 Survival Combo (FireNote /DVD) ................$89.00 $75.00 "`Fireti( Survival Set (FireNote /DVD /Drills) $179.00 $149.00 *R1T Combo (FireNote /DVD) ......................$1 =45.00 $99.00 :'::k:rRIT Set (FireNote/ DVD /Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plan $1.50 per book/DVD. No shipping c applie to me mbe r ship or c regi Add $5.00 f Int er na ti on al delivery. SIjIPPI1VG"` COURSE RE GISTRATION COU C, c lc_ 0 01 DATE: Ml r4 I8' -2t) L NCGLLXJFION POLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1852. Indianapolis. IN 46206. In the event of t-- cellation the Course Registration Fee will be refunded (less 2046 administrative fee) if written notice is received by FDTN at least 15 days prior to the star of the course. Registration fees for cancellation made w ithin 15 days of the c ours e are no r efu nda ble Na me cha ire p ermitt e d w ith no ch TOTAL SQ 0 PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: Credit Card MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: MI ETMTO umv cam lit. r 04 /10 !0VES! 1 IREfIGNiEfl FIRE DEPARTMENT TRAINING NETWORK ORDER FORM FAD Name: 16n -1 Zr,!kQc V j 1'P Rank/Title: t Department/Agency: C /va a,, R Address t L SZD, 0 Residential 17 Commercial City: 1�n -7 e State Zip: Country: V .S Phone: .3 S 'oc' Fax: E -mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations –Training Drills ....................$99.00 $89.00 Truck Company Operations –Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT– Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 *RIT Set FireNote DVD /Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per orderplus $1.50 per boolc/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery. SHIPPING* COURSE REGISTRATION COURSE: F �T� 1 ri 1- k C� C DATE: CANCELLATION POLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indianapolis, IN 46206. In the event of can- cellation the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start TOTAL of the course. Registration fees for cancellation made within 15 days of the course are nun refundable. Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (C)MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: NIAIL TO: Fire Department Training Netw P.O. Box Indianapolis I 862-9679 862 9 685 mx fIREfIGNiER Fill DIPARTME WRAINING Name: Rank/Title: -e' Department/Agency: azz Address: /G ,�1 r 1276K 13 Residential O Commercial City: t %'P State: �2W Zip: Country: _✓1 Phone: (31? Fax: E-mail: MEMBERSHIP Individual Annual Department Annual ........................$2 BOOKS Price Members FireNotes Firefighter Survival ........................$24.95 $19.95 FireNotes Firefighter Rescue and PIT ...................$34.95 $29.95 IireNotes F ireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search ...................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ...................$99.00 $89.00 Truck Company Operations –Training Drills ...................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid lntervention'I'eams ........................$129.95 $89.95 *'"Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote/DVD/Drills) $179.00 $149.00 *RI'I Combo (FireNote /DVD) ........................$145.00 $99.00 *RlT Set (FireNote/ DVD Drills) .................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per booldDVD. No shipping charge applies to membership or cours registration. Add 5.0 0 for International delivery. SHIPPINGy` CURSE REGISTRATION COURSE: //v /tG �1�/�l J� DATE: F IJ, HON POLICY: Cancellations must be made in writing and sent to FD'I'N, P.O. Box 1852, Indianaptlis, IN 46206. In the event of can- e tioh the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start TOTAL e course. Re is fees for cancellation made within 15 days of the course are non- refundable- Name changes are pemtitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (0 MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: C ��fIREFlGHiERS D MINI OR DER Name: KD.Irc- Rank/Title: fiF Department /Agency: C r-me I Ft 1 rc 1- -iM&n Address' t 3SZ f t 1� �t� O Residential O Cunuuercial City: We- sA State' -rN Zip: 1 Country: DS14 Phone' Fax: E -mail: ni ck ITSd" ct"r iVl,_ MEMBERSHIP Individual Annual Department Annual BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RI 'I' .........................$34.95 $29.95 FireNotes Fireground Sire -Up ........................$24.95 $1995 FireNotes Stretching Operating the First. Line ..............$2495 $19.95 FireNotes –Thermal Imaging for the Fire Service ..............$24.95 $1995 FireNotes Fircground Search ........................$24.95 $19.95 "Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firelighter Survival Training Drills ...................$99.00 $89.00 Firefighter Rescue RIT Training Drills ...................$99.00 $89.00 DVD Firefighter Survival ...................$74.95 $69.95 DVD —Rapid Intervention Teams ........................$129.95 $89.95 **Firefighter Survival Combo (FireNotc /DVD) ................$89.00 $75.00 *Firelighter Survival Set (FireNotc/ DVD /Drills) $179.00 $149.00 *RI`T Combo (FireNote /DVD) ........................$145.00 $99.00 Set FireNote/ DVD /Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membership or cou re Add $5.0 for International delivery. SHIPPING* COURSES REGISTRATION COURSE: T v C.L oA5 S DATE' F POLICY: Cancellations must be made in writing and sent to FUM, R0. Box 1852, Indianapolis, IN 46206. In die event of can- J tion the Course Registration ree will be refunded (ins 20% administrative fee) if written notice is received by r6rN at least 15 days prior to the start f�C� e course Registration fees for cancellation made within 15 days of th co urse ate non refundable. Name changes are penniued with no charge. Ir PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed L Department Purchase Order Number: 0 Credit Card (C] MasterCard 17 VISA 0 AMEX Card Number: Exp. Date: Signature: EEC 01 91) Fill I I Name: A.��✓ �S�i9"f% Rank/Title: e Department/Ageucy: 4: .tea Residential 71 Comwercial Address: �05 ZG G✓ 3`�' �J City: rS Ia5V `L�'— State: Zip: 04 r Country: I'lione: 5 i 9 f -7 Fax: E -mail: Aw/' /y*Z� i,,+ C vri Individual Annual Department Annual BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up $24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set all 6 titles ...............$139.00 $109.00 Engine Company Operations –Training Drills..... $99-00 $89.00 Truck Company Operations –Training Drills ....................$99.00 $89.00 Firefighter Survival Training Drills ...................$99.00 $89.00 Firefighler Rescue RIT Training Drills ........$99.00 $89.00 DVD Firefighter Survival ...................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 Firefighter Smvival Combo (FireNote /DVD) $89.00 $75.00 **FirclighterSurvival Set FireNote/ DV.D /Drills) $1.79.00 $149.00 It "R.I.'T Combo (FireNote /DVD) ........................$145.00 $99.00 *R.TT Set (FireNote/ DVD /Drills) ........................$235.00 $175.00 *Shipping handling is $795 per order plus $1.50 per hooklDVD. No shipping charge applies to rnembeiship or course reg Ad $5.0o for International delivery. SIhII'k'1NG* I COURSE REGISTRATION ON 3 COURSE: DATE: F ICANC r'se ELLATION POLICYi Cancellations must be made in writing and sent to FDTN, I'.0. Rox 1852, Indianapolis, IN 4621)6. In the event of can the Course Registration Pee will be refunded (less 2U90 administrative fee) if written notice is received by FDTN at least 0 days prior to the sw TO'I�A Reoistrauou fees for cancellation made within 15 days of the course are non-refundable. Maine changes are Pon nined with no charge. PAYMENT INFORMATION: TOTAL AMOUNT [ENCLOSED: 13 Check enclosed 171 Department Plll'Cl]aSe Order Number: 0 Credit Card (Q MasterCard O VISA CI AMEX Card Number: Exp. Date: Signature: 04 /1 GSA �aaw, FIRE DEPARTMENT TRAINING NETWORK ORDER FORM Name: Ads 0,4 Rank/Title: Department/Agency: CQr'rac f p Addres Z C ✓t e f@ 994-- e— D Residential 1. Commercial City: ii4- ,e a I State: S A Zip: yG 3 Z Country: u f A Phone: 1 /7 57/ z G 42- Fax: 317 -571- Z& iS E-mail: &01& .�uj1�-o► c�c.�� 1 gad MEMBERSHIP Individual —Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills-, $99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $6995 DVD Rapid Intervention Teams.. $129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote /DVD /Drills) ........$179.00 $149.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD /Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery. SHIPPING* COURSE REGISTRATION Np� 7 COUFSE: 6't -j it-4C_ CO3 M P&1l 19P'cr 1' DATE: Evil F 1r7A e NCELLATION POLICY- Cancellations must be made m writing and sera to FDTN, F0: Box 1 852, Indianapolis, IN 46206. In the event of can- tion the Course Registration Fee will be refunded (lei 20% administrative fee) if written notice is received by FDTN at least 15 days prior €o .the start TQTAL course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are`pertnitted with no charge. v PAYMENT INFORMATION: TOTAL AM OUNT ENCLOSED: 171 Check enclosed I Department Purchase Order Number: Credit Card (O MasterCard O VISA 0 AMEX Card Number: Exp. Date: Signature: 04/10 IREfIGN1ERS FIRE DEPARTMENT TRAINING NETWORK ORDER FORM C Name: 't "'`'t? Rank/Title: 1 t- /Trah.►�,tt Department/A C arr�ti F`/� l�GP �V'�wt r41 Address 6r r,' e s� K *r C- O Residential kommercial City: ell AA{ fiI State: _17 A) Zip '4 Country: us fi Phone: 317• ,571- M ot,2 Fax 317 57 Z& 15 E-mail: �k� ��hy� OM Ca- A&P. PA- joy MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations -Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD /Drills) ........................$235.00 $175.00 Shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery. SHIPPING COURSE REGISTRATION COURSE: D .e.ia,4o" r DATE: 10M t"5 7- F CA.?1C ELLATION P OLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indianapolis, IN 46206. In the event of cart tion the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the Stan '5 e course. Registration fees for cancellation made within 15 days of the course are non re fundable. Name changes are permitted with no charge. TOTA PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (0 MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: MAIL TO: Fire Del)ai-tiiientir'aini'n-g'Net%'%-,oi-k, P.O.'B'o'x 18i2, India h I t �11dG��'l C FIRE DEPARTMENT TRAINING NETWORK ORDER FORM Name: �"'S' Rank/Title: Department/Agency: Address G/ y I C y O Residential O Commercial City: L L State Zip: Country: ys Phone: 3/ 7 -5 -2,"'00 Fax: E -mail: r q��TWh co MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote/DVD/Drills $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD/Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book /DVD. No shipping charge applies to membership or course registrat Add $5. for International delivery. SHIPPING* COURSE REGISTRATION COURSE: ey6("5 Co'f4"4"y DATE: F CANCELLATION POLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indianapolis, IN 46206. In the event of can- tion the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start TOTAL course. Registration fees for cancellation made within 15 days o f the course arc non refundable. Name changes arc permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (C)MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: MAIL TO: fire Department Training Network, P.O. Box 1852, Indianapolis, IN 46206 (317) 862-9679 (317) 862-9685 u'.%x 11 1111��'� EIRE DEPARTMENT TRAINING NETWORK ORDER CORM Name: 1 CU L% L- w ASS Rank/Title: Department/Agency: C 2r-1 C Address C I V 1 SCE 77 Residential O Commercial City: C A tU CL, State: Zip: `7 0 'O" ZCountr y: USA Phone: J 5? 1 Z6G8 Fax: E -mail: 5-6DWN1205 (2- CAd_mca J4 .6 MEMBERSHIP Individual —Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT ..........................$34.95 $29.95 FireNotes Fireground Size -Up ........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operat ions Training Drills ....................$99.00 $89,00 Truck Company Operations Training Drills., $99.()o $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills ...................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) $145.00 $99.00 *RIT Set (FireNote/ DVD Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD No shipping charge applies to membership or course registration Add $5,00 for International delivery. SHIPPING* COURSE REGISTRATION CO URSE: t.AU 1 d� C p Q RS L DATE: r1FANCF,LLATI0N 1 OLICY: Can ellations mast IT made in writing and unt to rJ) N P.O. 13oa 1852, Indrmapnlis IN 46206. In the event of cam ceRation the Course Registration Fee will he refunded pens 209E admmistranve tee) if written nouce k retained by FI TN is least 15 days prior to the ,Stan of the Inane. Regisun fees f canc ellation made within 1 days of the course are non- refundahle. Name changes are jwrmilted with no charge. TOTAL PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (0 MasterCard O VISA D AMEX Card Number: Exp. Date: Signature: 04/10 11 �G14j iolirii FIRE DEPARTMENT TRAINING NETWORK ORDER FORM CD Name: KAJ L,) I-ML Rank/Title: Flo Department/Agency: Address: Z C ��y� 0 ResidentiilIk ammercial City: LEeAl.t_ State: �N• Zip: 4b03'j_ Country: U�k Phone: Fax: E- mail: bpA�)I Pf� AMA _W -.�J MEMBERSHIP Individual —Annual ..................$48.00 Department Annual ........................$240.00 BOOKS Price Members FircNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $1995 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills... $99-00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training. Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set (FireNote /DVD /Drills) $179.00 $1.49.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 *RIT Set (FireNote! DVD /Drills) .......................$235.00 $175.00 *Shipping handling is $7.95 per orderplus $1.50 per book/DVD. Vo shipping,charge applies to membership or course r egistration. Add $5.00 for International delivery. SHIPPING* COURSE REGISTRATION COURSE: EI(, tiu C �rtn�tPti t.1!'L zch.� l DATE: F yCELLAT10Dl POLICY: Cancellations musibe made in writin and sent to I'D1'N, p.0.6ox 1852, Indianapolis, IN 46206. In (he event of can- tion the Course Re.gistration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least l5 days prior to the start e course. Registration fees for cancellation made within 15 days of the course are .non- refundable. Name changes am permitted with no charge. TOTAL PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (Ll MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: MAIL TO: Fire Department Training Network, P.O.- Box 1852, Indianapolis, IN 46206 (317) 862-9679 (317� 862-9685 FIN DIPARMENT 7 A IN NETWOR QkDEk Fam CD �i Name: J e�� cl-/ Rank/Title: Department/Agency: Address 2 G✓ C S p O Residential O Commercial City: ci 7� -e �c State: 5 7�/ Zip: �'4.403Z- Country: 0 S Phone: Fax: E -mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills... ........$99.00 $89.00 Truck Company Operations Training Dri lls ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD /Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD/Drills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membersh o r course registration. Add $5.00 for International delivery. I SHIPPING* COURSE REGISTRATION COURSE: DATE: CANCELLATION PO ICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indianapolis, IN 46206. In the event of can- cellation the Course Registration Fee will .herefunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the soot TOTAL of the course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: D Check enclosed D Department Purchase Order Number: D Credit Card (C)MasterCard D VISA D AMEX Card Number: Exp. Date: Signature: FIREfIGNiERS �I YJAIN F? D Name: J V"s Rank/Title• l�"� z Department/Agency: C C vY\G> P, r �e_ Address: O Residential O Commercial City: C _C4_� vv\_e, l State: Zip: l� Z Country; 31 Phone: -5 Z-L 0 c� Fax: E-mail: MEMBERSHIP Individual —Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Drills ....................$99.00 $89.00 Truck Company Operations Training Drills ...................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills ...................$99.00 $89.00 DVD Firefighter Survival .........................$74,95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote/DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD/Drills) $179.00 $149.00 *RIT Combo (FireNote/DVD) ........................$145.00 $99.00 *RIT Set FireNote /DVD/Drills) ........................$235.00 $175.00 *Shipping.& handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International del SHIPPING* CURSE REGISTRATION COURSE: n cw (DO S f DATE: 7b tQ o/Z C t CANCELLATION POLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 185 Indianapolis, IN 46206. In the event of can- cellation the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start TOTAL U V of the course. Registration fees for cancellation made within 15 days of the course arc non refundable. Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (0 MasterCard O VISA CI AMEX Card Number: Exp. Date: Signature: t 0 t t 1o/�� It1GSAVg( D EIREEIGHiEB FIRE DEPARTMENT TRAINING NETWORK ORDER FORM �r Name: Sz� (Z_ �o vim\ Q S Rank/Title: Department/Agency: Address vQ�� Q_ Q Residential O Commercial City: State: Country: Phone: Fax: E -mail: MEMBERSHIP Individual Annual .........................$48.00 Department Annual ........................$240.00 BOOKS Price Members FireNotes Firefighter Survival .........................$24.95 $19.95 FireNotes Firefighter Rescue and RIT .........................$34.95 $29.95 FireNotes Fireground Size -Up .........................$24.95 $19.95 FireNotes Stretching Operating the First Line ..............$24.95 $19.95 FireNotes Thermal Imaging for the Fire Service ..............$24.95 $19.95 FireNotes Fireground Search .........................$24.95 $19.95 *Complete FireNotes Set (all 6 titles) ........................$139.00 $109.00 Engine Company Operations Training Dri lls ....................$99.00 $89.00 Truck Company Operations Training Drills ......................$99.00 $89.00 Firefighter Survival Training Drills .........................$99.00 $89.00 Firefighter Rescue RIT Training Drills .........................$99.00 $89.00 DVD Firefighter Survival .........................$74.95 $69.95 DVD Rapid Intervention Teams ........................$129.95 $89.95 *Firefighter Survival Combo (FireNote /DVD) ................$89.00 $75.00 *Firefighter Survival Set FireNote /DVD/Drills) $179.00 $149.00 *RIT Combo (FireNote /DVD) ........................$145.00 $99.00 *RIT Set (FireNote /DVD /Dr ills) ........................$235.00 $175.00 *Shipping handling is $7.95 per order plus $1.50 per book/DVD. No shipping charge applies to membership or course registration. Add $5.00 for International delivery. SHIPPING* COURSE REGISTRATION r COURSE: DATE: CANCELLATION POLICY: Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indianapolis, IN 46206. In the event of can- cellation the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start TOTAL 1 of the course. Registration fees for cancellation made within 15 days of the course are non refundable. Name changes are permitted with no charge. PAYMENT INFORMATION: TOTAL AMOUNT ENCLOSED: 0 Check enclosed 0 Department Purchase Order Number: 0 Credit Card (0 MasterCard 0 VISA 0 AMEX Card Number: Exp. Date: Signature: 1 Department t P. Box 1852 Indianapolis 46206 862-9679 862-968 VOUCHER NO. WARRANT NO. ALLOWED 20 Fire Department Training Network IN SUM OF P. O. Box 1852 Indianapolis, IN 46206 $18,500.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 24164 43- 570.04 $18,500.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except DEC 13 2810 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $18,500.00 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer