Name _________________________________

Address _______________________________

City ______________ State ______ Zip ______

Telephone ( ) ___________________________		 Credit Card Orders — Fill in boxes with card number
                                       

Expiration Date: Month ________ Year ______

Visa     Mastercard     Check or Money Order
PRICE ITEM QUANTITY SUBTOTAL
$7.75 'Stop Bush Now!'    
$16.00 '911 in Plane Site' DVD    
$16.00 '911 in Plane Site' VHS    
$20.00 '911 in Plane Site' DVD + 'Stop-Bush-Now'    
$20.00 '911 in Plane Site' VHS + 'Stop-Bush-Now'    
TOTAL  


Print this form, fill in your order, and mail to:
Paul J. Landis
50 Columbus Avenue, F-21
Tuckahoe, New York 10707
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