Chemists Celebrate Earth Day

General Public

Request 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 local Earth Day activities and events.

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

Orders placed on or before

Expected date of arrival:

March 20

April 4

March 27

April 11

April 3

April 18

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

(number of packs)

2008 OCA 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