Order Form
National Radio Project1714 Franklin Street #100-251 Oakland, CA 94612 510-251-1332 ext. 105
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Order Form for CD copies of Making ContactAll CD orders include postage, tax and handling. Subscriptions are mailed weekly. Non-Profit Groups: contact us for sliding scale pricing on individual and bulk orders. Name of Program and Program Number (for example #22-11)________________ Quantity of CDs ___________________________________________________________________ __________ ___________________________________________________________________ __________ ___________________________________________________________________ __________
Ship to: Name ________________________________________________________________ Address ______________________________________________________________ City/State/Zip _______________________________________________________ Home phone (required) _____________________ Email _______________________ __ Check/Money Order (US Dollars, payable to International Media Project). Please charge my __ Visa __ Mastercard: __ __ __ __ – __ __ __ __ – __ __ __ __ – __ __ __ __ Expires __ __ / __ __ Signature ____________________________________________________________ Name on Card _________________________________________________________ Billing Address of Credit Card (if different from shipping address): Address ______________________________________________________________ City/State/Zip _______________________________________________________ We appreciate your feedback – please enter your comments: ________________ _____________________________________________________________________ Thank you for your order. Please return this form with your payment to the address at the top. |