EESI
Congressional Briefing DVD Order Form
Please send me the listed number
of DVDs of each the following briefings. (one
briefing = one DVD). Write the
number of copies you would like next to the title of the briefing.
_____ Climate Stewardship Act -
June 3, 2004
_____ Abrupt Climate Change
September 15, 2004
_____ Climate Change Post 2100
September 21, 2004
_____ State and Local Government
Climate Change Efforts September 28, 2004
_____
Business Initiatives to Reduce Greenhouse Gas Emissions November 18,
2004
_____ What Does Climate Change Mean for the Arctic? How is Alaska Being Affected? March 15, 2005
_____ Agriculture
and Climate Change: Threats and Opportunities May 24, 2005
_____ Total number of DVDs X $20
each = $____________ (includes
Postage and handling)
+ $____________ DC
Sales Tax 5.75% (for DC residents only)
$____________ Total amount enclosed
(__)
Please charge $__________ to my credit card.
Type: (_) Master Card (_)
Visa
Name on card:
_____________________________ Acct. # ___________________________________
Expiration Date: ________ Signature:
________________________________________
(__)
I will be paying by check (please make checks payable to EESI)
(__) Please send me an
invoice for $_____________
Name:
_______________________________________________Phone: _________________________
Org/Company:
_________________________________________Fax: ___________________________
Address:
_____________________________________________
City:
_________________________State ______Zip _________ Email:
__________________________
Fax
or Mail Form to:
FAX (202) 628-1825
Attn:
Jann Couch
EESI,
Orders will be shipped within 2-4 weeks of receipt of payment.
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