to subcribe please consider the following:
(Please have the relevant information at hand or filled out.)
Name: ______________________________________________________________
Address: _________________________________________________________________
City: ________________________________________________________________
State: ____________________________________________________________________
Country: __________________________________________________________________
Post Code: __________
Phone Number: (_______) ______________-_______________
Fax Number: (_______) ______________-_______________
Email Address: _____________________________________________________________
Credit Card: ________ Cheque: ________ Money Order: ________
(Please put an X in one)
Date Ordered: __________/__________/_____________
(If via) Credit Card Details:
(Please put an X in one)
Master Card: __________ Visa: _______ Bankcard: _______ AMEX: __________
Account Number: ____________/______________/_______________/_____________
Expiry Date: _________/___________
Signature: ________________________________________________________________
SUBSCRIPTIONS:
(Postage is included in the price.)
Australia |
Witch issue would you like to start with? |
|
One Year $ 27.50 AU |
|
Winter |
|
Two Years $50 AU |
|
New Zealand & The Asia Pacific |
Spring |
|
One Year $ 43 AU |
|
Two Years $85 AU |
|
Summer |
|
Rest Of the World (Europe, USA, etc.) |
One Year $ 50 AU |
|
Autumn |
|
Two Years $100AU |
|
|
After completing the for please choose 1 or 2 years and winter or sprint or summer or autumn to start.
| Phone: |
Fax: |
| 07-3366-5177 in Australia |
(07-3366-7740) in Australia |
| 011-3366-5177
out side Australia |
(011-617-3366-7740) out side Australia |
Mail to:
PO Box 365
The Gap
Queensland
4061
Australia |
