Raptors at Risk Video Order Form

	Quantity	Subtotal
“Raptors at Risk” VHS Video (U.S. $12.00 each*)	__________	_______
“Raptors at Risk” DVD (U.S. $25.00 each*)	__________	_______
EDM International, Inc. 4001 Automation Way Fort Collins, Colorado ¨ 80525-3479 USA Phone: 970/204-4001 ¨ Fax: 970/204-4007 E-mail: info@edmlink.com	Delivery in Colorado add 2.9% Sales Tax	__________
	If you would like to contribute to the Bird Collision Video project, please add your donation amount.	__________
	Total	__________

Prices includes first class shipping and handling within the United States.
Large quantities may be shipped via UPS or FedEx. International formats (such as PAL) may be ordered
for an additional charge. For international shipping, fax or e-mail EDM for a price quote.

Price is stated in US dollars.

Please make checks payable to EDM International, Inc. (sorry, we are not able to process credit card orders).

Ship video to:
Company:
Name:
Title:
Address:
City:
State/Province:
Zip/Postal Code:
Country:

Phone:
Fax:
E-mail:

If you would like to contribute to the Bird Collision Video project, please add your donation amount.

Total

If you would like to
contribute to the
Bird Collision Video
project, please add your
donation amount.