The Outdoor Power Equipment Institute, Inc.

Safety Education Materials Order Form

Item	# Ordered	Total
Brochures
Think Safety & Environment With Power Equipment In Your Hands	______ @ see materials list for pricing	$________
Leafblowers: A Guide To Safe & Courteous Use	______ @ see materials list for pricing	$________

Videos
Mowing Rules, Safety Rocks!	______ @ $35.00/ea.	$________
Backyard Tips From Chipper	______ @ $35.00/ea.	$________
EarthWise Tips	______ @ $35.00/ea.	$________

Total Amount Enclosed		$________


Shipping Information
Name:
Company:
Address:
City:
State:
Zip Code:
Telephone:
Fax:
E-Mail:

* Note: To order, please print this page, fill out the form and send with a check for the full amount payable to the Outdoor Power Equipment Institute.

Send To:
Outdoor Power Equipment Institute, Inc.
341 South Patrick Street
Alexandria, VA 22314
Phone: 703-549-7600
Fax: 703-549-7604