Coastal Cleanup Day poster order form by lel14209

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									       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
coast4u@coastal.ca.gov, so we can quote you the correct charge.
Please allow at least two weeks for delivery.

								
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