Grassroots For America Premiums

Grassroots for America^SM is proud to offer the following outstanding resources as premiums for making a contribution in support the Grassroots Theatre Network™, Root Camp and other important GFA projects.

To make a contribution and receive your Book or DVD, please:

1. Select the Book, DVD or DVDs you would like to receive as your premium,
2. Indicate if you need the Book or DVD(s) shipped overseas,
3. Enter any additional contribution you'd like to make,
4. Provide your contact/shipping information, and
5. Click on the PayPal logo below to pay by credit card if you don't have a PayPal account or using your PayPal account.
6. Complete the requested information on the PayPal page to complete your transaction.
   
   If you run into any problems with the PayPal payment process, please contact us for assistance.

	Start Making Sense - Book - $15.00
	Weapons of Mass Deception - DVD - $29.95
	How Democrats & Progressives Can Win - DVD - $20.00
	Hijacking Catastrophe - DVD - $25.00
	Orwell Rolls In His Grave - DVD - $30.00
	Uncovered - DVD - $20.00
	There's Something About 'W' - DVD - $20.00
	Bush's Brain - DVD - $25.00
Please ship DVDs overseas - $10.00
Additional Contribution:
First Name:
Last Name:
Street Address:
City:
State, Zip:	Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ,
E-mail Address:

If you have any questions or concerns about PayPal, click here to learn more before making your contribution.

If you prefer to send a check, please make it out to Grassroots for America, indicate the DVD or DVDs you would like for your premium and mail it to:

Premiums
Grassroots for America
411 Holly Lane
Wynnewood, PA 19096-1616

Please include your name, address, phone number and e-mail address.