The Northeast Regional Food Guide Order Form

Please print out this form and send to:
The Resource Center
Cornell University
PO Box 3884
Ithaca, NY 14852-3884

E-Mail: Resource Center
Item Price Quantity Total
399NRFGP Poster and Produce List @$4.95 x ____ = _____
399NRFGFS Set of 8 Fact Sheets @$6.50 x ____ = _____
399NRFGSET Poster, Produce List, and Set of 8 Fact Sheets @$10.75 x ____ = _____
Shipping is $5.00 for the 1st item and $1.00 for each additional item NY and CA destinations please add 8.25% sales tax = _____
Total enclosed
(Payable in US funds, drawn on a U.S. Bank)
$ ______
MasterCard Visa Discover

Account Number: ____________________ Exp. date ____

Signature: ____________________________________

Ship to: ______________________________________

Attn:__________________________________________

Address:_______________________________________

City:______________ State:___ Postal Code:______

Daytime Phone:(____)______________________


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