Please print this order form.

Complete and send cashier's check or money order to:

EARTH UPRISING ADOBE BLOCK & MACHINE CO.

P.O. Box 122
Arivaca AZ 85601 

USA 

Order Form

Name: _____________________________________________________________________

Address: _______________________________________________________________

              _______________________________________________________________

City: _______________________  State/Province: __________________________

Zip/Postal code: _________________

Country: ________________

___ Videos (VHS) @ (US$15)

___ CDROMs @ (US$15)

Shipping & Handling  US$ 5.00

Amount enclosed US$ _____