EHC Publication Order Form

EHC Publication Order Form
To fax or mail in your order to EHC, please print out this page and fill in appropriately.

Select the publications you wish to order:

Publications

Price

check one

Quantity

Total Cost

Toxic Turnaround Guide

$28

English only

Toxic Free Neighborhoods Community Planning Guide

$22

English only

River of Broken Promises - video

$25

___English
or
___Spanish

Shipping and handling

for orders from outside the United States add $5 each for shipping and handling

Total Order Price

Your Payment Information:

You are paying by (circle one): Check / money order / MasterCard / Visa

Name on credit card:

Signature:

Card No.

Expires:

Personal Information:

First name:

Last name:

Company:

Title:

Street:

City:

State/province:

Zip code:

Phone #

E-Mail:

Please mail (enclose check or credit card number) or fax (credit card only) your order to:

EHC
Attn: Publications
401 Mile of Cars Way, Suite 310
National City, CA 91950
FAX: (619) 474-1210

You are paying by (circle one): Check / money order / MasterCard / Visa
Name on credit card:	Signature:
Card No.	Expires:

First name:	Last name:
Company:	Title:
Street:	City:
State/province:	Zip code:
Phone #	E-Mail: