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Order Form

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National Radio Project

1714 Franklin Street #100-251 • Oakland, CA 94612

510-251-1332 ext. 105

 

Order Form  for CD copies of Making Contact

All CD orders include postage, tax and handling. Subscriptions are mailed weekly. Non-Profit Groups: contact us for sliding scale pricing on individual and bulk orders.

Name of Program and Program Number (for example #22-11)________________ Quantity of CDs

___________________________________________________________________              __________

___________________________________________________________________              __________

___________________________________________________________________              __________

Subtotal: individual CDs ($10 each) $______
Subscription: 6-month (26 programs) – $98 $_______
Subscription: 1-year (52 programs) – $175 $_______
Tax deductible Donation to National Radio Project $_______
TOTAL $

Ship to:

Name ________________________________________________________________

Address ______________________________________________________________

City/State/Zip _______________________________________________________

Home phone (required) _____________________  Email _______________________

__ Check/Money Order (US Dollars, payable to International Media Project).

Please charge my __ Visa       __ Mastercard:

__ __ __ __ – __ __ __ __ – __ __ __ __ – __ __ __ __     Expires __ __ / __ __

Signature ____________________________________________________________

Name on Card _________________________________________________________

Billing Address of Credit Card (if different from shipping address):

Address ______________________________________________________________

City/State/Zip _______________________________________________________

We appreciate your feedback – please enter your comments: ________________

_____________________________________________________________________

Thank you for your order. Please return this form with your payment to the address at the top.