New Age Citizen's
P.O. Box 419
Dearborn Heights, Michigan 48127
24 Hour Message/Info Line (313)563-3192
Webpage: http://www.newagecitizen.com
E-mail: newagecitizenx@comcast.net
"Website for Drug, Environmental & Social
Reform Activists"
Name: ______________________
Address: ___________________________________ City: ________________ State: ____ ZIP:______________
e-mail: __________________________ Country: _________________________
Note: Your purchases, whether gifts or personal purchases, help promote the Re-Legalization of Cannibis for Medicinal, Agricultural, Industrial & Personal Use.
| Item # | Description | Price | Qty | Total |
|---|---|---|---|---|
| The NAC eMagazine (12 issues, must include e-mail address) | $24.95 | |||
| Marijuana Lie's | $4.95 | |||
| NAC Multi-Media CD | $19.95 | |||
| Gift NAC eMagazine: [e-mail:___________________________] | $24.95 | |||
| Subtotal: | ||||
| State Tax: [Michigan Orders Only] Add 6% (.06 x Subtotal); [No State Tax for eMagazine!!!] | ||||
| Shipping & Handling: Up to $20(US = $4; Canada = $5; Elsewhere = $6); $20 - $50 (US = $5; Canada = $6; Elsewhere = $10); $50.01 - $100 (US = $7; Canada = $8; Elsewhere = $15); $100.01 - $300 (US = $9; Canada = $12; Elsewhere = $20); | ||||
| Grand Total: | ||||