Course Materials Order Form

Thank you for purchasing our prototype BTC Handbooks and samples of NWEI Discussion Course materials.

We  will be asking you for your evaluation and input and sincerely appreciate your collaboration in the development

of this program.  When you are ready to convene your circles, materials can be ordered for the participants.

(minimum order of 6 each).

Name of Circle Convener________________________________________________________

Name of Circle (and organization if applicable)  ______________________________________

Address: ________________________________________________________________________

City: ___________________________________ Province: ________ Postal Code: _____________

Daytime phone: __________________________ Home phone: _____________________________

Email: _____________________________________________ Fax: _________________________

Circle Day _________________Circle Time _______________ Proposed Circle Start Date: _______

Circle Location (check one):    home        workplace          faith centre        other__________________

ACTION CIRCLE HANDBOOK: $30.00 each

BTC Action Circle Handbooks                             #____ x $30                  =$________                             

(*Required if this is your first course)

COURSE BOOKS:

NWEI - Global Warming: Changing C02urse         # ____ x $30                 = $ _________

NWEI - Choices For Sustainable Living                # ____ x $30                 = $ _________

NWEI - Deep Ecology:                                       # ____ x $30                 = $ _________

NWEI - Voluntary Simplicity                                # ____ x $30                 = $ _________

NWEI - Discovering a Sense of Place                  # ____ x $30                 = $ _________

NWEI - Healthy Children, Healthy Planet              # ____ x $30                 = $ _________

Greenpeace Green Living Guide                          # ____ x $20                 = $ _________

Shipping and handling charges                            = $ _________               = $ _________

Donation to BTCEA (thank you!)                                                              = $ _________

TOTAL                                                                                                 = $ _________

BTCEA requires payment prior to sending out course books. If you have questions or need assistance, please

contact us at admin@bethechangeearthalliance.org.

Send order form and cheques payable to: Be The Change Earth Alliance, 5557 Larch Street, Vancouver, B.C., V6M 4C9; Fax 604-269-9874

I understand that course books and related materials developed and offered by BTCEA may only be used in connection with Action Circles and may not be distributed individually to those who are not enrolled in a BTC Action Circle. In addition, I will not charge participants a fee for participation in the BTC Action Circle, nor will I charge more for the course books than the actual cost plus a share of the shipping and handling costs listed.