ORDER FORM
Item Name Qty. Price Total
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Subtotal ______
Less 10% discount for EDH members (______)
Add S&H (in US) Subtotal under $15 - $6.00; $15-50 - $10.00; ______
$50-75 - $15; over $75 or utside the US, contact EDH
Subtotal ______
Add 8% 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. Check or Money Order: Print form, complete, and mail with payment to:
Earth Defense Headquarters
PO Box 2358
San Anselmo, CA 94979
2. If you want to pay with credit card, I will send an invoice via Paypal.
a) Email your order to: ecochicks@edhca.org
b) Call me with your order and email address: 415-259-0118.