Order Form

2008 Order Form

Print and fill in this order form, then fax or mail to:
Grass Roots Press
6520-82 Avenue, Main Floor
Edmonton, Alberta, Canada T6B 0E7
Fax: (780) 413-6582

Questions?
Call toll-free: 1-888-303-3213 or
e-mail: info@grassrootsbooks.net

BILL TO

SHIP TO (if different from billing address)

ORGANIZATION _______________________________________

NAME ________________________________________________

POSITION _____________________________________________

ADDRESS _____________________________________________

_______________________________________________________

CITY ____________________________ PROVINCE/STATE _______

POSTAL / ZIP CODE ____________________________________

TELEPHONE ___________________________________________

FAX __________________________________________________

E-MAIL _______________________________________________

FEDERAL TAX ID #
(U.S. Companies) _______________________________________

GST Exempt #
(Canadian companies) ___________________________________

ORGANIZATION _______________________________________

NAME ________________________________________________

POSITION _____________________________________________

ADDRESS _____________________________________________

_______________________________________________________

CITY __________________________ PROVINCE/STATE _______

POSTAL / ZIP CODE ____________________________________

TELEPHONE ___________________________________________

FAX __________________________________________________

E-MAIL _______________________________________________

SHIPPING AND HANDLING CHARGES

	$0 - $11	$11.01 - $25	$25.01 - $75	$75.01 - $100	$100.01 - $200	$200.01 and up
Canada	$5.00	$9.95	$12.95	$14.95	$17.95	10%
US	$7.00	$12.95	$14.95	$16.95	$19.95	12%
Postage varies for international shipments. Please e-mail us for prices.

Canadian orders pay in Canadian funds.
U.S. and International orders pay in U.S. funds.

International orders as well as those from individuals, must be prepaid by cheque or credit card.

US companies are required to provide their Federal Tax ID number before we can ship their order.

* For remote areas, additional shipping charges might apply. Call for details.

TITLE	ORDER #	QTY	PRICE	TOTAL
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.	Order Total			.
	Shipping & handling			.
	Sub-total			.
	GST (5% of subtotal - Canada only)			.
	PST (8% of subtotal - NB, NL, & NS only)*			.
	TOTAL			.
	*PST applies to shipping & handling, audio, video, and software only.

METHOD OF PAYMENT

All international orders must be prepaid in U.S. funds.
All orders from individuals must be prepaid by cheque, money order or credit card.

____ Please invoice me. Purchase Order # _________________________

____ Cheque or money order enclosed (made payable to Grass Roots Press)

____VISA or ____ Mastercard

Credit card number ____________________________________

Card expiry date ______________________________________

Full name on card _____________________________________

Signature ____________________________________________

*Prices are subject to change.

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