Quantity	Description	Price	Amount
	Insurance, the Commonwealth, and You	$15.00
	May 17th, 2004, DVD	$20.00
	May 17th, 2004, VHS	$20.00
	Candlelight Rally: Arlington Stands Up Against Hate.	$20.00
	Dow Avenue Project	$20.00
	Alewife Area Flood Video Documentation	$20.00
	Minuteman Trail Bikeway One Hour Documentary	$20.00
	Subtotal
	Mass. 5% Sales Tax (Massachusetts residents only)
	Shipping & Handling ($4.00 per item*)
	Order Total

Ship To:

Name
Address
City, ST, Zip
Daytime Phone†
E-mail Addr.†

1. Print this page (it's ok if this text is cut off at the bottom)
2. Enter the quantity of each title desired.
3. Compute the total for each item, then the subtotal.
4. Massachusetts residents only, please add 5% tax.
5. Enter shipping amount.
6. Compute Order total.
7. Enter name and address for shipment.
8. Enclose a check or money order for the Order Total, made out to Open Eyes Video, and mail to:

Open Eyes Video
661 Mass. Ave., Ste. 5
Arlington, MA 02476-5001

* For larger quantities, we offer discounts on both recordings and shipping. Contact us for details.
† Please supply either a phone number or e-mail address in case we have to contact you about your order.

Privacy Policy: We will not use or sell your address, phone number or e-mail address for any other purpose. If you would like to receive e-mail when we release new titles, you must contact us and ask specifically for this service.

Please allow one to four weeks for delivery. We cannot take orders via e-mail, over the phone, or using credit cards at this time. We will ship by the best method. If your address is a Post Office Box, we will ship via USPS.

Tax table: