Mail Order Form

Please print this form, fill it out clearly and send with cash, check,
or money order payable "Sonya Diehn" to:

Oasis Ordering
c/o Sonya Diehn
PO Box 508
Tucson, AZ
85702-0508
   Name ______________________________________

Address ______________________________________

   City ______________________________________

  State _________________ Zip ________________

Phone (      )_________________________

 

E-Mail ________________________________ 


Description Quantity Price Sub-total
Oasis Under Siege - home viewing/educational rate   $10/each  
Oasis Under Siege - institutional rate (includes public presentation rights)   $75  
Shipping/handling: $3 per tape  
Order Total  

Where did you hear about Oasis Under Siege?___________________________________________________

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