Investing in Communities Guide Order Form

Send this order form in with your check or credit card # to:
Social Investment Forum Foundation / Co-op America
Community Investing Program
Attn: Justin
1612 K Street. NW, Suite 650
Washington, DC 20006
Phone 202/872-5307
Fax 202/331-8166

Name:                                                                                                                         

Address:                                                                                                                     

City:                                                          State   __           Zip                              

Shipping and Handling Charges:                                                        

1-4 copies: $2 each
5-50 copies: $1 each
100 copies: $75 total charge
250 copies in a case: $125 total charge per case         

Total # of Guides to send:              

Total order: $                                                  

If paying by credit card, you may fax this form to (202)331-8166

PAYMENT METHOD:

___ Check    ____ MC    ____VISA

Card #: _________________________________

Exp. Date: ______________________________

Name on Card: ___________________________

Signature: ______________________________

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