(Please print this page and mail it to us)

Order Form for "Visiting A Farm? 'Be Safe and Sound' Says Saftey Hound", Video and Booklet

12.5 Minute Videotape, $23.00 postage paid
ISBN 978-1-880327-31-9

20 Page Book, $2.50 postage paid
ISBN 978-1-880327-32-6

Please send check or money order for total amount due in U.S. funds.
Schools, libraries and businesses may supply purchase orders and tax exempt information.
Additional postage charges may apply for shipping to international locations.

Number of Copies of "Visiting A Farm?" Video
x $23.00 = Video Total

Number of Copies of "Teaching and Learning About Farm Visit Saftey" booklet
x $2.50 = Book Total

Subtotal


(Vermont Residents Only)
add Vermont State Sales Tax
$1.38 per video
15 cents per book

Total


Name

Organization

Address

City

State

Zip
Phone


Mail orders with check or money order to:
Perceptions Inc.
1030 Hinesburg Rd.
Charlotte, VT 05445

Email questions to: perceptivt@aol.com
Call : 802-425-2783

Thank you for your order!