Home Planet Alliance
2 Bloor St. West
Suite #100-209
Toronto, Ontario
M4W 3E2
Canada

I would like to order:

Friendship Pennies: #________ $1.00 each
Friendship Pins: #_________ $5.00 each
Video Tape "The Last One":#________ $20.00 +$4.00 s/h
Audio Tape "The Last One":#________ $8.00

(Ontario residents please add GST+PST):$________
Total:$_________enclosed.
(minimum order $10.00)

Please send to:

Name:____________________________________
Address:__________________________________
City:______________________________________
Province/State:____________________________
Postal Code:_______________________________
Country:__________________________________