Order Form amazonaws com

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Books and More Order Form Name: (Prefix)

(First)

(Last)

Organization: Address (no P.O. Box if possible):

__________________________________________________________________________________________________________________ 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

ID# BID# ‰ C Date Initials

‰ CC

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