BayNVC CD/DVD Order Form
CONTACT INFORMATION
CD/DVD ORDER INFORMATION
Please TYPE or PRINT clearly so your order arrives at the
correct address and so we can contact you if we have
questions. Thank you.
TITLE
Name ____________________________________________
NVC IN ACTION:
Conflict Hotline 2-CD Set ____ ____________
with Miki Kashtan
Address __________________________________________
QTY
RATE PER ITEM1
AMOUNT
____________
____________
________ _
__________
City _______________________ State ____ Zip __________
____________
Phone (________) __________________________________
____________
Work/Cell (________) _______________________________
(circle one)
Email _____________________________________________
Conflict Hotline DVD
with Miki Kashtan
____ ____________
□ Yes, please add my name to the BayNVC mailing list
(monthly email on NVC topics and events; easy to opt out).
□
No, do not add my name to the BayNVC mailing list.
____________
Subtotal
_____________
Tax2
_____________
Shipping3
_____________
TOTAL ____________
1
RATE PER CD, DVD or Booklet
TITLE
Please make checks payable to BayNVC.
QTY
RATE PER ITEM
Mail to:
BayNVC
55 Santa Clara Ave., Suite 203
Oakland, CA 94610
For credit card purchases we take Visa and Master
Card only.
Name on Card:_
Conflict Hotline 2-CD Set
_________________________________
Card No.:
Conflict Hotline DVD
______________________________
Expiration Date: ___________
1
3-9
$21.00 (full price)
16.50 ea
10-19
15.00 ea
20+
12.75 ea
1
3-9
$18.25 (full price)
15.00 ea
10-19
14.00 ea
20+
12.25 ea
3 digit V Code: __________
SALES TAX 9.75% for California addresses.
3 SHIPPING is $7 for first CD/DVD and $2 for each additional item.
2
Please call for shipping charges on orders of 10 items or more.
We will ship within 2 weeks of receipt of your order.