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Subscription
and Back Issue Order Form
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| My Name_____________________________________e-mail________________________________________ | ||||||||||||
| Address__________________________________________________________________________________ | ||||||||||||
| Address__________________________________________________________________________________ | ||||||||||||
| City __________________State______ Zip __________Phone_______________________________________ | ||||||||||||
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| Gift Recipient Name______________________________e-mail_______________________________________ | ||||||||||||
| Address__________________________________________________________________________________ | ||||||||||||
| Address__________________________________________________________________________________ | ||||||||||||
| City __________________State______ Zip __________Phone_______________________________________ | ||||||||||||
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Issue | Price | Qty | |||
| $10 | x ____ | = $ ________ | ||||
| $10 | x ____ | = $ ________ | ||||
| $10 | x ____ | = $ ________ | ||||
| $20 | x ____ | = $ ________ | ||||
| $10 | x ____ | = $ ________ | ||||
| $10 | x ____ | = $ ________ | ||||
| $10 | x ____ | = $ ________ | ||||
| $27 | x ____ | = $ ________ | ||||
| $10 | x ____ | = $ ________ | ||||
| $10 | x ____ | = $ ________ | ||||
| $20 | x ____ | = $ ________ | ||||
| $20 | x ____ | = $ ________ | ||||
| $20 | x ____ | = $ ________ | ||||
| $20 | x ____ | = $ ________ | ||||
| $60 | x ____ | = $ ________ | ||||
| $20 | x ____ | = $ ________ | ||||
| $60 | x ____ | = $ ________ | ||||
| $26 | x ____ | = $ ________ | ||||
| $20 | x ____ | = $ ________ | ||||
| $20 | x ____ | = $ ________ | ||||
| $26 | x ____ | = $ ________ | ||||
| $48 | x ____ | = $ ________ | ||||
| $80 | x ____ | = $ ________ | ||||
| Subtotal | = $ ________ | |||||
| In CA add 8.25% tax | = $ ________ | |||||
| Grand Total | = $ ________ |