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FAX or MAIL
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| Name:_________________________________________________ |
| Street Address:__________________________________________ |
| City:____________________________________________ State:______ Zip:__________________ |
| Phone (if we have a question about your order):___________________________________________ |
RATES
United States____ 1-Year Subscription $32.95 Canada____ 1-Year Basic Subscription $39.95
If this Two-Cylinder subscription / membership is being sponsored by a current member, please note that member's name below for our records. _____________________________________ |
Foreign____ 1-Year Subscription $49.95
Is this a gift subscription/membership for the person named above? If so, enter your name and address here and we'll send a gift card in your behalf. ________________________________ ________________________________ _________________________________ |
PAYMENT INFORMATION:
_____Check or ______Money Order (U.S. Funds) Enclosed Account Number:___________________________________ Expiration Date:___________________________________ Signature Required for Credit Card Orders: _______________________________________________ |
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