1) Print this form and clearly list individual article title(s) and back issue date(s) (if available). 2) Return this form to the address below along with the appropriate payment, if you would like to pay by credit card, please include the neccessary information. Individual Articles Photocopied for $4.00 each (list article title and issue date)
___________________________________________________________________________________________________________
Entire Back Issue for $7.50 each (list issue date)
Total amount for individual articles and/or back issues $________________
Mailing Information:
Name:____________________________________________________________________
Address:_________________________________________________________________
City:_____________________________ State:____________ Zip Code:__________
Country:_________________________________________________________________
Payment Enclosed (do not send cash) Credit Card
Credit Card Information
Credit Card Type:Visa Mastercard American Express Discover
Name On Credit Card:_____________________________________
Credit Card Number:______________________________________
Expiration date:_________________________________________