XERCES SOCIETY ORDER FORM
Please print this form, fill it out and send with
a check or money order to the address below.
| Item/Description | Quantity |
| 1. | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
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Total Amount Enclosed $__________
Prices include shipping and handling within the United States. Most items shipped via US Postal Service Media Mail. If you require a faster or alternative shipping method, please contact us first.
Orders outside the US will be shipped via US Postal Service Surface Mail. If you require a faster method of shipment, please first contact Xerces for an airmail postage quote (fax: 503-233-6794 or e-mail: info@xerces.org).
Make checks in US funds, foreign drafts or international money orders payable to: The Xerces Society. We regret we cannot accept credit cards. Please allow 2 to 3 weeks for delivery.
SHIP TO:
Name_______________________________________________
Address_____________________________________________
____________________________________________________
City_____________________State/Prov________ZIP/Postal Code_____________
Country ____________________
Mail this form along with your check or money order payable to:
The Xerces Society
4828 SE Hawthorne Blvd.
Portland, OR 97215-3252 USA
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