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Paid Subscription Subscription Information: - 6 Issues per Year (Currently) - Subscription can begin anytime - Agency discounts at 10% - All International fees incl shipping - Subscription can be Cancelled

- Back issues are available - 90 days Missing Claims

1 YEAR SUBSRIPTION UNITED STATES INTERNATIONAL & CANADA

$99 $129

SINGLE ISSUES UNITED STATES INTERNATIONAL & CANADA

$20 $32

Fill Out Information Online then Print 1 Year Subscription OR 2 Year Subscription From ____________To_______________ Single Issue of the Magazine:

Vol: _________ Issue: _________ Number of Copies: __________

Email Address _________________________

Telephone Number ___________________

Forward this form to: Vendome Group PO Box 11404 Newark, NJ 07101-4014 For Credit Card Payment over the phone, please Contact:

Shipping Address: Name: _____________________________________________ Street: _____________________________________________ City: _______________________ State: _______ Zip: _____ Country: __________________________

Mike Koplin Director of Operations Tel: 212-812-8980

Billing Address: Name: _____________________________________________ Street: _____________________________________________ City: _______________________ State: _______ Zip: _____ Country: __________________________

All confirmation will be emailed upon request.

Payment Type: Check/Cheque (Attach to form) Card ______________________ Credit Verification#: ________ Master Expiration Date: ___ ____ Visa MM YYYY AmEx

For other processing email: [email protected]