Add S&H (in US) Subtotal under $15 - $4.00; over $15 - $6.00            ______  
  Outside the US, contact EDH for correct cost

Subtotal                                                                                                            ______

Add  7.75% sales tax for CA residents                                                       ______

TOTAL                                                                                  _____

Ship to:

Name  ______________________________________________________________

Address  ____________________________________________________________

City         _____________________________________________________________

State  _______     Zip  ____________________________________

Email  _______________________________________________________________

Phone   ______________________________________________________________

Payment:

Check/Money Order  _____

Credit Card Number  ____________________________________________________

Expiration Date  __________________________  Security Code  _________________

Name on Card  ________________________________________________________

How to submit order:

1. Print form, complete, and mail with payment or credit card
     information to:
   
     Earth Defense Headquarters
     PO Box 2358
     San Anselmo, CA 94979

2. Credit card orders only:
     a)  Print form, complete, and fax to: 415-259-0120
     b)  Copy/paste order into email with credit card info and send to: ecochicks@edhca.org
     c)  Call 415-259-0118 with order and credit card information.

EDH will be developing a shopping cart in the near future - thanks for your patience.