ORDER FORM

Print and complete this form, then mail or fax it with your check or credit card information to the address below.
PRODUCT TITLE
Qty.
Price*
Subtotal
DVD
 Journey of the Universe dvd - with Brian Swimme .
$25
 .
DVD
 The Powers of the Universe dvd - with Brian Swimme .
$120
 .
CD
The Powers of the Universe cd - with Brian Swimme .
$60
 .
DVD Canticle to the Cosmos dvd - with Brian Swimme .
$120
 .
DVD
 The Earth's Imagination dvd - with Brian Swimme .
$90
 .
Tax
CA residents, add 8.75% sales tax
 - -
*Prices include first class postage for the U.S. and Canada. Total $

Name:

Address:

City/State/Zip:

Phone: Email:

Enclosed is my Check for $ _______________ (payable to "Center for the Story of the Universe")

    or Charge $ _______________ to my (circle one) Visa -- Master Card

Credit card number:


Expiration Date:

Signature:
    Complete and mail or fax this form
    with your check or credit card information to:

      Center for the Story of the Universe
      134 Coleen Street; Livermore, CA 94550
      Phone: (800) 273-3720 Fax: (925) 449-6907