Dry Goods Mail-Order Form

Name__________________________________________________________
Organization__________________________________________________
Address_______________________________________________________
______________________________________________________________
Phone________________ Email___________________________________
Item:________________________  Price________
Item:________________________  Price________
Item:________________________  Price________
Item:________________________  Price________
                               Total________


Send, with check or money order, made out to Gould & Stearns. Prices, postage paid:

NEW! "Still Clowning" DVD
"Simple Gifts" video
book "A Peasant of El Salvador"
book "Voces del Sur"

$15
$15
$10
$10

Print, fill out, and send this form to:

Gould & Stearns
44 Hillcrest Terrace
Brattleboro, VT 05301

Phone: 802.254.8355

Email: gstearns@sover.net