Power From The People
Mail Order Form

Name

Phone

Street Address

City, State Zip

Quantity
Price VHS 30 min.
$15 for Individuals
$20 for Community Organizations/Public Libraries/High Schools
$30 for Colleges & Universities
$
Total

Where did you hear about Power From the People?
Television Renewable Energy Event Film Festival Web Friend Other

Please enclose a check or money order (made out to John Schmit) with this form and mail to:

John Schmit
GVSU
121 Lake Superior Hall
Allendale, MI 49401

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