Name:_________________________________________________________________
Address:_______________________________________________________________
City:___________________________________________________________________
State:__________________________________________________________________
Postal Code:____________________________________________________________
Country:________________________________________________________________
Telephone
(country and area code):___________________________________________
Fax:
__________________________________________________________________
| Order Items: |
|
| Compost Video Series on Two DVDs ($25.00) |
_____ Yes |
| Total Amount Due: |
$__________ |
|
|
|
|
|
| _____ Check
_____ Purchase
Order
Signature
_________________________________________________
Please make checks payable to Knox-Lincoln Cooperative Extension or KLCE and mail
to:
Jeanne Pipicello
Knox-Lincoln Cooperative Extension
377 Manktown Road
Waldoboro, Maine 04572-5815
Phone:
207-832-0343
Fax: 207-832-0377
email: jeannep@umext.maine.edu
Please print this form and
mail to the above address.
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