Pumpkin Circle

Printable Order Form

 


PREVIEW OFFER
THE PUMPKIN CIRCLE STORE
PUMPKIN SEEDS
VIDEO AWARDS & REVIEWS
EN ESPAÑOL
EDUCATIONAL STANDARDS
CLASSROOM ACTIVITIES
SCHOOL AUTHOR/FILMMAKER VISITS
GROWING PUMPKINS
LINKS
OTHER FILMS BY G. LEVENSON
 
CONTENTS
HOME

›ORDER FORM
How To Order

1. Print out this order form.
2. Phone, fax or mail your order to us.
    Call: (800) 827-0949 
    Fax: (831) 426-2312
    Mail: Informed Democracy, P.O. Box 67
             Santa Cruz, CA 95063
Name
Address
City
State/Zip
Telephone ()
Fax ()
PO#

QUANTITY ITEM PRICE EACH TOTAL
       
       
       
       
       
       
       
       
  CREDIT CARD INFORMATION
Check or money order enclosed, payable to Informed Democracy
 Purchase Order, if applicable (please attach). Purchase Order #
Charge to this credit card: VISA VISA MasterCard Master Card

  Credit Card #Expires

  Name
    (please print exactly as it appears on card)


  Signature (Required)

SUBTOTAL  
CA Residents add 7.25%
Sales Tax to Order Total		  
Add 10% for shipping
$4.95 mininum		  
TOTAL  
THANK YOU FOR YOUR ORDER.
Guarantee: all items may be returned within 30 days for full refund.		  
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