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Text File  |  2001-07-04  |  3KB  |  114 lines
  1. ^^
  2.                              AMIGACTIVE MAGAZINE
  3.  
  4.                          SUBSCRITPIONS & BACK ISSUES
  5.                                   ORDER FORM
  6.  
  7.     Block Capitals please
  8.  
  9.     Yes! Please sign me up for an AmigActive Subscription/Back issue.
  10.  
  11.     Name:___________________________________________________________
  12.  
  13.     Address:________________________________________________________
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  15.     ____________________________________Postcode:___________________
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  17.     Country:________________________________________________________
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  19.     Telephone Number:_______________________________________________
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  21.     Email Address:   _______________________________________________
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  23.                   _                                       PAYMENT
  24.     Postal Order |_|
  25.                   _                I enclose my payment per issue as
  26.     Cheque       |_|          indicated opposite.Please make Cheques
  27.                                  Payable to Pinprint Publishing Ltd.
  28.     CREDIT CARD
  29.  
  30.     Card Number:____________________________________________________
  31.                 _
  32.     Access     |_|         Expiry Date:_______________________________
  33.     Mastercard |_|         Switch/Solo card Issue Number______________
  34.     Switch/Solo|_|
  35.     Vista      |_|
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  79.     Subscription Rates             |                Back Issues Rates
  80.     (Please tick as appropriate)   |     (Please tick as appropriate)
  81.                                    |   Information on our back Issues
  82.     Please start my Subscription   |   see our Web site
  83.     with Issue number              |          www.amigactive.com
  84.                                    |
  85.                                    |    please send me the following
  86.                                    |              back issues
  87.                     ___________    |                _        _
  88.                                    |             1 |_|    8 |_|
  89.     12 ISSUES:                     |                _        _
  90.                                _   |             9 |_|   11 |_|
  91.     UK:                £55.90 |_|  |
  92.     EUROPE:            £72.00 |_|  |        Sorry-all other issues
  93.     WORLD:             £39.00 |_|  |            are SOLD OUT!
  94.                                    |
  95.                                    |           PRICE PER ISSUE:
  96.     6 ISSUES:                      |                             _
  97.                                _   |        UK:           £7.00 |_|
  98.     UK:                £29.90 |_|  |        EUROPE:       £8.00 |_|
  99.     EUROPE:            £36.00 |_|  |        WORLD:        £9.00 |_|
  100.     WORLD:             £39.00 |_|  |      all back issues prices are
  101.                                    |   in Pounds Sterling and inclusive
  102.                                    |         of Postage & Packing
  103.                                    |
  104.   =====================================================================
  105.  
  106. SEND YOUR COMPLETED FORM TO: Amiga Active Magazine
  107.                              Systems House
  108.                              3-11 Spring Road
  109.                              Bournemouth
  110.                              Dorset
  111.                              England
  112.                              BH1 4PZ
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