Visa and MasterCard Order Form

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Visa and MasterCard Order Form

Print out and complete this form to place an order.

Order the School Foods Tool Kit now, and improve children’s eating habits

$ ________ Total payment enclosed (price includes shipping and handling)

Payment and shipping:

Check (payable to CSPI)

Credit Card: Visa or MasterCard

Credit Card Number ____________________________ Exp. date __________

Signature ____________________________

Name (please print) ________________________

(Organization) ____________________________

Address _________________________________

_________________________________

City, State, Zip ____________________________

Phone _____________________________ Fax _________________________

E-mail ___________________________________

Send to:

CSPI — School Foods Tool Kit

1875 Connecticut Ave., NW, Suite 300

Washington, DC 20009-5728

Or, fax order to (202) 265-4954

Please allow four to six weeks for delivery.

Note: We will NOT be accepting purchase orders for this item.

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