Name___________________________________________________________
Organization_______________________________________________________
Address___________________________________________________________
City ______________________State _____ Code ________ Country_________________
Phone _______________ Fax__________________ Email___________________________
Countries of interest ___ Cuba ___ Cambodia ___ Laos ___ Vietnam
___Please remove my name from your mailing list
Enclosed is a tax-deductible contribution to the Fund for Reconciliation and Development (includes Interchange)
___$25 __$50 __$100 __$150 __$250 Corporate __other________
___I wish to receive monthly updates and meeting invitations by email.
___ $5 Cuba Travel Policy Paper
____2004-2005 Directory of INGOs in Vietnam, $20
____2006 Directory of INGOs in Vietnam, $30
____2004 Vietnam Education and Training Directory, $15
____Vietnam Museum of Ethnology catalogue, $25
____National Center for Social Sciences and Humanities Directory, $4
____Where the War has Passed (Agent Orange)/Deadly Debris (UXO) Documentary films from Vietnam $10
Please specify VHS or VCD (plays in most DVD players) format
____A Story from the Corner of a Park - Documentary film by Tran Van Thuy VHS tape $10
____Song of the South - 11 part miniseries from HCM City Television (set of 6 DVDs) $69
Literature subtotal $ ______
Literature postage * $ ______
*For 1st class domestic shipping, add 10%
*For international surface, add 25%
*For international air, add 50%;
Literature total $ ______
Tax deductible contribution $ ______
Total amount enclosed $ ______ (check payable to Fund for Reconciliation and Development)
Send to:
Fund for Reconciliation and Development
144 Palisades Street, Suite 401 Dobbs Ferry, NY 10522
phone(914)231-6270 fax(917)521-2207
indochina@ffrd.org
Page updated March 2007.
