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