Flag of Earth Order Form

Print this order form, then fill it out with a ballpoint pen.
Mail the completed form with your check payable to "NAAPO", to:

	NAAPO
	c/o Russ Childers
	33 Acton Rd.
	Columbus, OH 43214

Please use the Contact page if you have questions or comments.
Orders will be mailed 5-10 days upon receipt.

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                            |            | Donation |Item Total |
         Item               |  Quantity  |   Each   | Donation  |
                            |            | (U.S. $) | (U.S. $)  |
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Flag: 4'x6'     (122x183cm) |            |  $85.00  |           |
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Flag: 3'x4.5'   (91x137cm)  |            |  $75.00  |           |
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Flag: 2'x3'     (61x91cm)   |            |  $55.00  |           |
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Flag: 4"x6"     (10x15cm)   |            |  $ 9.00  |           |
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Lapel Pin:      (10x18mm)   |            |  $ 5.00  |           |
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Decal: 5" round (12cm)      |            |  $ 4.50  |           |
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                         Sum of Donations for Items:|           |
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Overseas shipping charge (see PayPal shopping cart):|           |
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                            Extra donation to NAAPO:|           |
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                      Grand total donation to NAAPO:|           |
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Package Ship-To Address:

Name:____________________________________________________________

Street:__________________________________________________________

City:_________________________State:__________Zip:_______________

Country:______________________Email or phone:____________________

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Comments:
_________________________________________________________________