Name ____________________________________________________________
Organization ______________________________________________________
Address __________________________________________________________
__________________________________________________________
__________________________________________________________
$10 Canadian plus shipping & handling
For exact amount contact CCR, Guadalupe Macias, 514-277-7223 or ccr3@web.ca
(Unfortunately airmail postage outside Canada/US is expensive ($20).
An alternative is sea mail (1-3 months delivery). Please indicate
your preference).
TOTAL ENCLOSED _________________
BILL ME LATER _________________
CHEQUE OR VISA OR MASTERCARD
CARDHOLDER ___________________________________________________
CARD# __________________________________________________________
EXPIRY__________________________________________________________
SIGNATURE______________________________________________________
6839 Drolet #302, Montréal, QC, H2S 2T1
Tél: 514-277-7223. Fax: 514-277-1447