VIDEO ORDER FORM

Prices: Please circle all that apply.

$25 for allied organizations (non-profit)

$50 for institutions (libraries, Women's Studies Departments)

For rush orders (overnight) add $10

Total Cost for your Order:$_____________

Name:__________________________________________________________

Address:_________________________________________________________

Address:_________________________________________________________

City:________________________________________________________

State__________

Zip:_____________

Phone:______________________________________

E-mail:_____________________________________________________

Print and mail completed form with your check (payable to "NNAF") to cover video,
postage and handling to:
NNAF
42 Seaverns Avenue
Boston, MA 02130-2865