Chemists Celebrate Earth Day

General Public

Order Form

Please complete this form to request copies of the Earth Day Edition of the Celebrating Chemistry newspaper and other free materials for distribution at your activities and events.

Orders placed after April 3, may be subject to rush shipping, which we would ask that you pay. We will continue to process and ship orders through Earth Day, and assume that you are extending your Earth Day celebration.

Orders placed on or before:

Expected date of arrival:

March 20

April 4

March 27

April 11

April 3

April 18

March 20

First Name

Last Name

Email

Daytime Phone

ACS Publications

Quantity

Earth Day Edition Celebrating Chemistry Activity Newspaper, 250 per box

Posters – “Chemists Celebrate Earth Day” 16 1/2"X 22", 1 each

Limit 5

Office of Community Activities (OCA) Brochure, 50 per pack

2008 Product Catalog, 1 each

ACS Membership Applications, 1 each

Balloons, 25 per pack

Limit 1

Shipping Address

Note: UPS will not ship to a P.O. Box

Venue or Name

Address 1

Address 2

City

State

Zip Code

Notes:

Office of Community Activities
American Chemical Society
1155 Sixteenth Street, NW
Washington, DC 20036
(800) 227-5558