Welcome to the GENI Products Online Secure Order Form This is a "secure" server so your credit card number is protected. If you are using a FireFox or Netscape browser, a thin blue line at the top of this window and/or unbroken key and/or closed padlock at the bottom indicates that any information you send is protected from unauthorized view by world-class encryption techniques. With Internet Explorer, there will be a graphic of an unbroken key and/or closed padlock at the top right of your browser window (at the bottom in older versions). (The "tab" key will move you from box-to-box) To assist us when contacting you, please provide accurate and complete information. (*Required Field) First Name * Last Name * Email * Organization     Street * City * State/Province * Zip/Post Code * Country * ---Select a Country--- United States Afghanistan Ajman Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Chile China, People's Republic of Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Republic of the Congo, The Democratic Republic Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dubai East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Fmr Yugoslav Rep of Macedonia France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Gilbert and Ellice Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Korea, Democratic People's Rep Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Rep Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Other Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome and Principe Sarjah Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St Vincent and the Grenadines Stateless Sth Georgia & Sth Sandwich Is Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay US Minor Outlying Islands Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Phone * Credit Card: * Mastercard Visa American Express Credit Card Number * No spaces( ) or dashes(-) between numbers CSC* (the 3- or 4-digit Card Security Code printed on your card, as shown) Start Date Month: January February March April May June July August September October November December Year: 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Expiration Date * Month: January February March April May June July August September October November December Year: 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Or Call 619-595-0139 with your card number and order information ready. Title Unit Price Qty Subtotal GENI Video* - What If... A New Global Option $20.00 $ GENI Video* - A Win-Win Solution $20.00 $ === Video Only === VHS * International formats available. Add $5.00 per tape: PAL SECAM * Broadcast Master tapes available in 3/4" and Betacam. (Please call). $ GENI T-shirts (click size: one size fits all) S M Large XL $13.00 $ GENI Membership and Newsletter (Annual) $35.00 $ GENI Bochures ( 50 brochures) $12.50 $ Dymaxion Satellite Globe $10.00 $ Fuller Projection Air-Ocean World Dymaxion Map $17.00 $ Our Spaceship Earth Satellite Self Portrait Dymaxion Map $18.00 $ GENI Technical Package $50.00 $ My Immediate Gift to GENI   $ My Monthly Pledge to GENI   $ Title Unit Price Qty Subtotal GENI Key Ring $3.00 $ GENI Animation / Map Puzzle Game - 3.5 inch floppy $5.00 $ GENI Animation / Map Puzzle Game - CD-ROM $5.00 $ GENI CD-ROM: "There Is No Energy Crisis" - An Interactive Experience $5.00 $ $2.50 US & Canada $10.00 International Shipping Range $  Grand Total Total $ Questions or comments? (click in the box to begin typing) Your order will be sent via Email to GENI. We will reply by telephone to confirm your order and payment instructions. (You may want to print this page before you send it, or use the "Save As <file name>" function of your browser, to keep it for your reference.) After you press SUBMIT, the computer will pause as it processes the order. Please do not hit the submit button twice as it is normal for the computer to pause while it processes your order for a few seconds. It will then show you a confirmation of your order in a few moments. P.S. GENI volunteers and interns need computer equipment and software to accelerate the attainment of GENI's misson (and which you can purchase and/or donate for tax writeoffs in the U.S.). Please make a note of your prospective computer/software pledge in the comment area above.

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