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Materials Order Form |
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Date Ordered: __________/___________/_____________ Date Shipped: __________/___________/_____________ |
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Name: _________________________________________________________________ Organization: ___________________________________________________________ Address:________________________________________________________________ City/ State/Zip: __________________________________________________________ Phone: ________________________________ Fax: _____________________________ E-mail: ___________________________________ |
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Items Available |
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Donation |
Qty. |
Total |
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book, Border Witness: Youth Confront NAFTA |
30.00 |
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15.00 |
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15.00 |
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10.00 |
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10.00 |
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20.00 |
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10.00 |
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10.00 |
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2.00 |
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DONATION TOTAL plus $3.50 shipping and handling |
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Please print this page and mail to Wanda Parsons with a check payable to
NYS Labor-Religion Coalition, 800 Troy-Schenectady Rd., Latham, NY 12110