Video Order Form Yes! I want to order the Ripon Society' s video : "Setting the Record Straight: Real People, Real Progress "
Please send me _ _ _ _ _ _ _ videos at $19.99 each .
Nrune _____________________________________________________________ Company/Organization _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ __ __ _ __ _ __ Addre~
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _____________________________
City ____________________________________ 8101. ___________ Zip ___________
Telephone ________________________________ Fax ___________________________ E-mail _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _ _ _ __ _ __ ___ My check is made payable to the Ripon Society in the amount of $ _ _ _ _ _ _ _ _ _ _ _ __ ___
Ripon Society· 501 Capitol Court, NE • Suite 300 • Washington , DC 20002 1-800-98-RIPON 202-546-1292' Fax 202-547-6560' www.riponsociety.org
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RIpoNFoRUM 501 Capitol Court, NE, Suite 300 Washington, D. C. 20002
SECOND-CLASS