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Text File  |  1994-08-03  |  844b  |  24 lines
  1.          Yes, I'd like to subscribe to "Cartouche". Please enter
  2.          my subscription, to begin with the next issue.
  3.  
  4.          \[__\] $14 for 1 year, 6 mailed issues, $17 Canadian
  5.          \[__\] $3.50 for the current issue, $4.50 Canadian
  6.  
  7.           {Name}:<_________________________________________>
  8.  
  9.           {Address}:<______________________________________>
  10.  
  11.           {City}:<_______________> {State}:<____> {Zip}:<_____>
  12.  
  13.           {Home Phone Number}: \(____\){-}<________>
  14.            \[  \] {VISA}  \[  \] {MasterCard} {Exp. Date}:<_____>
  15.  
  16.           {Credit Card Number}:<___________________________>
  17.  
  18.           {Signature} <____________________________________>
  19.  
  20.            Send to: Cartouche
  21.                     Cartouche Publications
  22.                     6648 Freeman
  23.                     Byron, NY 14422
  24.