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Mt Tam Astronomy Program Order Form
Print and Mail to:
MTIA /Astronomy Programs
c/o Tinka Ross, 89 Dominican Drive, San Rafael, CA 94901

_____ Youth Sweatshirts ___XL ___L ____M ____S ($20.00 each)

_____ Adult Sweatshirts (Sorry - these are currently SOLD OUT)

_____ Adult T-Shirts ___XL ___L ____ M ($25.00 each)
 
_____ 2004 Astronomical Pocket Diaries ($10.00 each)
 
_____ 8" Night Sky Planispheres ($10.00 each)

_____ 5" Night Sky Planispheres ($6.00 each)

_____ Keychain Lights ($5.00 each)

_____ Flashlights ($10.00 each)

_____ Light Pen in gold gift box ($10.00 each)

_____ Fundanas ($7.00 each)

_____ Glo-Tags ($10.00 each)

_____ SUBTOTAL

_____ Postage and Handling - please add 10% of total order
 
_____ Donation to MTIA of $_________________

 
Enclosed $_____________________(check payable to MTIA )

NAME________________________________________________________

ADDRESS_____________________________________________________

CITY______________________________ST_______ZIP_______________

Email_________________________________________________________



THANK YOU. ENJOY OUR PROGRAMS!

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