Web of Life Materials Unit Price Quantity Total Contact

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Web of Life Materials Unit Price Quantity Total Contact Powered By Docstoc
					                                                                            th
                                                                 2211 West 4 Avenue         604 732 4228 tel
                                                                 Suite 219                  604 732 0752 fax
                                                                 Vancouver BC               www.davidsuzuki.org
                                                                 Canada V6K 4S2



*Please print and fill out form and fax or mail in. Questions? Please contact Cara cara@davidsuzuki.org

Web of Life Materials                                       Unit Price      Quantity            Total

Nature Challenge Community Video (22 mins)                      13.00                   $
Nature Challenge Community Tool Kit                             20.00                   $
(250 colour brochures OR 400 one-pagers, 6 posters {3
of each version}, 1 video)

NC4K (Kids) Tool Kit (35 booklets & stickers,                   20.00                   $
sign-up poster, “NC4K News” video or CD-ROM)

Tote Bag (black, organic cotton)                                25.00                   $
T-Shirt (black, organic cotton)                                 32.00                   $
            Please circle size:    S     M   L   XL
Note: All unit prices include GST, shipping and handling    Total Payment Enclosed $                    CAD

Contact Information

Name: ________________________________________________________________

Organization/Group/School Name: __________________________________________

Mailing Address: ________________________________________________________

City: ___________________________________ Prov/State: _____ Postal/Zip Code: __________

Phone: ____________________ Email: _____________________________________________

Method of Payment (please circle one)

      Visa        #                                            Signature:
                  Expiry: __ / __

      Master
      Card   #                                                 Signature:
             Expiry: __ / __

      Cheque                           **make cheque payable to the David Suzuki Foundation**
                                               ***memo note: Web of Life Materials***

				
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