O R D E R F O R M F O R

U N C O V E R I N G T H E R I G H T O N C A M P U S:


Please print and mail to:  Center for Campus Organizing,
Box 748, Cambridge, MA  02142.  Prepayment is required
except with faxed credit card orders or university PO#.
Telephone #:  (617) 354-9363.  FAX: (617) 547-5067


Item                                    Quantity    Total
----                                    --------    -----
 
1-4 copies are $8 each.                 ______      _______
 
Rate on 5 or more copies is $6 each     ______      _______
 
Shipping and handling is $2 per copy
 for 1-4 copies; $1 for add'l copies                _______
  
 
I've enclosed a donation to support CCO's work. 
As a member, I will receive the next four issues
of Infusion: Tools for Action and Education.
___$10 (low income) __$25 (regular) __$50 (friend)  _______
 
 
TOTAL ENCLOSED                                    _______
 
Name__________________________________________________________
 
Address ______________________________________________________
 
City/St/Zip __________________________________________________
 
Phone _________________________   E-mail _____________________
 
____I am interested in working with CCO on my campus.
 
 
Make checks payable to the "Center for Campus Organizing".
CCO is a non-profit 501(c)(3) organization.  The portion of
any donation over $10 is fully tax-deductible.
 
--------------------------------------------------------------
Credit Card Authorization (optional for FAX or mail orders);
 
Type of Card:  VISA / Master Card    Expiration Date:_________
 
Card Number: _________________________________________________
 
 

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