Consents +/=/- Severances order form

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For more information, please go to: www.agingactivisms.org/consents-severances-ziysah

Your Name

# of copies *

Email address *

Please share the email address that will be used for payment, if applicable.

Dedications

If you would like a dedication, please provide name(s).

Mailing address *

Please provide full mailing address.

Delivery

The book(s) might be hand delivered depending on timing/location. If you live in the Peterborough or Toronto areas, please let me know if the book can be dropped off, and if so any instructions on where to leave it or when.

Payment amount *

Please let me know how much money you are sending. Suggested $15 per book, but the price should not be a barrier. Give what you can, and give a bit more if you are able. Please add $5 for delivery outside of Ptbo/Toronto, and $10 for delivery to US. For international delivery, I will contact you with the amount. 50% of proceeds will be donated to Black and Indigenous-led organizations for racial justice and Indigenous land rights.

Payment method *

E-transfer to dmarkson@trentu.ca (Preferred method)

Paypal to dmarkson@trentu.ca (For folks outside Canada)

Paypal link (For those outside Canada who do NOT have a paypal account)

Cash (to be paid upon delivery in Peterborough or Toronto areas)

Cheque (I will send you details)

Barter (make me an offer below!)

Gift (If you would love a copy of this book but do not have cash to exchange for it, no worries!)

Other:

Urgency

Since I'm not a business, it may take me a week or two to get your order to you. If you want or need it by a certain time please let me know and I'll do my best!

Any other comments, questions, instructions?

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