ORDER FORM for COASTAL CLEANUP DAY POSTERS Print this page, fill it out, and send it to: CSPF/Adopt-A-Beach CCD Posters P.O. Box 192242 San Francisco, CA 94119-2242 with a check or money order made out to “CSPF/Adopt-A-Beach”. If you would like to send posters as gifts, please write on the back of this form the address(es) of the recipient(s) and which items are for each addressee. You may also include any note you would like us to enclose. Please do not send cash through the mail. We regret that we cannot take credit card orders. Each poster is available for $6. Purchase three posters for $15. PLEASE PRINT Name_______________________________________________________________ Address_____________________________________________________________ City/Town_________________________________________________State______ Zip Code/Postal Code_________________Country (If not USA)_________________ Daytime Telephone Number_____________________________________________ E-Mail Address _______________________________________________________ Which poster(s)? How Many? Unit Cost Subtotal Jelly (2009) $6 Snake (2009) $6 Fish (2009) $6 Octopus (2008) $6 Butterfly (2008) $6 Cig-Egret (2008) $6 Cig-Egret (2007) $6 Crab (2007) $6 Turtle (2007) $6 Multi-Animal Image (2006) $6 Cig-Egret (2005) $6 Spork Crab (2005) $6 Cola Bass (2005) $6 Dolphin (2004) $6 Newt (2004) $6 Avocet (2004) $6 Raccoon (2003) $6 Crab (2003) $6 Seal (2003) $6 Set of any 3 posters $15 TOTAL I have enclosed a check or money order for a total of $________ (United States Dollars) PLEASE NOTE: If you want to order from outside the United States, we need to assess a shipping charge. Before placing any such order, please write us first at the above address or send us e-mail at email@example.com, so we can quote you the correct charge. Please allow at least two weeks for delivery.
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