Print out this shortened order form and use it in conjunction with the on-line description pages to place your order.

Mail this form and your payment to:
NEAVS, 333 Washington St., Ste. 850, Boston, MA, 02108

Or FAX this form and your credit card payment to:
(617) 523-7925

Questions? Need pricing on multiple copies? Call us at (617)523-6020 (M-F 9:00 am-4:30 pm EST) or e-mail us.

Your additional support helps NEAVS and ESEC to distribute education literature at the lowest cost possible to schools, shelters, events, and institutions.

Order information

Item (include size of T-Shirts)

Price QTY Item Total

  

     

  

     

  

     

  

     

  

     

  

     

Here is my additional tax-deductible donation:

 

Please add all items

Subtotal  

Please add appropriate S& H rate

$0-10.00 = $3.00; $10-30 = $4.25; $30+ = $5.00

Shipping  

Please add shipping and subtotal

Total  

  Name:

  Address:

  CITY/ST/ZIP:

  Phone:

  E-mail:

Form of Payment
__   Check enclosed     or     __  Charge my MC or VISA    
Card # ________________________________ Exp. _________

Cardholder's signature __________________________________

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