SURFING FOR LIFE T-Shirt, DVD and Video Tape Order Form

Please send me _____ DVDs at $31 each which includes postage and handling ($51 for institutions).

Please send me _____ video cassettes at $29 each which includes postage and handling ($49 for institutions).

Please send me _____ discussion guides at $5 each which includes postage and handling.

Please send me _____ T-shirts @ $23 each which includes postage and handling.

• Size:
  ____S    ____M    ____L    ____XL    ____XXL

• Color:
  ____Blue ____Tan ____Yellow

Subtotal: $________

California residents add 8% sales tax: $________

Total amount enclosed $________

Your Name
______________________________________________

Address
______________________________________________

City, State, Zip
______________________________________________

Phone
_________ - _________ - ____________

Please make checks payable to:

David L. Brown
274 Santa Clara St.
Brisbane, CA 94005.
(415)468-7469.

Please allow three weeks for delivery. Thank you. Aloha.