__________________________________________________________________________________________________________________ Street
City
Check one :
Residence
State
Zip
Commercial Address
Phone:
E-Mail:
Organizational Membership Category, if applicable: Land Trust Member
Government Partner
Nonprofit Partner
Professional Partner
Members and partners receive a discount on book orders. Visit www.lta.org/join to learn more about the benefits of joining the Land Trust Alliance.
Please charge my:
I enclose my check to “Land Trust Alliance,” or Account #:
MasterCard
Visa
Expiration Date: ______
Discover
American Express
__ CSC Code___________
Print Cardholder Name: Cardholder Signature: Please allow approximately two weeks for delivery. “Rush orders” carry a $50 fee above the normal shipping and handling charge. If your organization is tax exempt, please attach or fax a copy of your state tax-exempt certificate.
Quantity
Title
Shipping and Handling Up to $12
$7
Up to $25
$9
Up to $50
$10
Up to $75
$12
Up to $100
$15
Up to $150
$18
Up to $200
$20
Up to $250
$22
Over $250
Call (202) 638-4725 to order
Delivery by UPS in the Continental U.S. Preferred book rate if no street address. Priority Mail in AK, HI and Canada. Please allow approximately two weeks for delivery.
Price
Total
Order Subtotal Sales Tax Tax (CO 5%, CT 6.35%, DC 5.75%, IL 6.25%, IN 7%, MA 6.25%, NY 7%, ME 5.5%, MI 6%, NC 6.75%)
Shipping & Handling Rush Order Fee, $50 Total Enclosed OFFICE USE ONLY
Send form to: Land Trust Alliance 1660 L Street, NW, Suite 1100 Washington, DC 20036 Fax: 202-638-4730