Pensema Publishing Company 2425B Channing Way, #693 Berkeley, CA 94704 USA email: jgc@pensema.com Fax: 510-845-7847

Order Form

[Pensema books are currently available by mail order only. Please print this form, fill in the blanks, and mail together with your check for payment to Pensema Publishing.]

Send to: (please print)

Name:________________________________________

Address:______________________________________

_____________________________________________

City/State/Zip code:_____________________________

Country:_______________________________________

Tel: (____)______-_________ e-mail:______@_________

URL:______________________fax:(___)_____-________

Books

1. Creating Democracy In Time--389pp (# of copies)_______@$23.10 ea = $____________

2. The Universal Model--165pp (# of copies)__________@$13.85 ea = $________________

3. Lost In Dreams--104pp (# of copies)________@$5.55 ea = $________________

4. Creative Democracy and the Internet--273pp (# of copies)_______@$13.85 ea = $________

Price (All Books)US$_________________________________

Tax(Calif. residents)=8.25% US$________________________

Postage & Handling (all orders) US$5.00__________________

Total US$___________________________________________

Make check payable to:

Pensema Publishing Company
2425 B Channing Way, #693
Berkeley, CA. 94704

(Please allow 1-3 weeks for check verification and postal delivery
within the U.S.--longer if outside the U.S.)

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