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                   Amiga Active Subscription Form
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      Please print out this form and complete in BLOCK CAPITALS.

   NAME: ............................................................

ADDRESS: ............................................................

         ............................................................

         ............................. POST CODE: ...................

 'PHONE: ............................. FAX: .........................

  EMAIL: ............................................................

My preferred method of payment is: (please tick one)
+-------------------------------------------------------------------+
|  [ ] Sterling Cheque - Card No.: .................................|
+--------------------------------+----------------------------------+
|  [ ] International Money Order |
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Subscription prices (please tick one)
+---------------+---------------+--------------+
|               |   6 months    |  12 months   |
+---------------+---------------+--------------+
|            UK |  [ ] £29.90   |  [ ] £55.90  |
+---------------+---------------+--------------+
|        Europe |  [ ] £36.00   |  [ ] £72.00  |
+---------------+---------------+--------------+
| Rest of World |  [ ] £39.00   |  [ ] £78.00  |
+---------------+---------------+--------------+

Payment options (please complete as appropriate)

[ ] I enclose a cheque, drawn on a UK bank account in pounds sterling
    and made payable to "PinPrint Publishing"

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    above, in pounds sterling.

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    [ ] Access   [ ] Visa   [ ] Mastercard   [ ] Switch

    Card number: ....................................................

    Expiry date: ................ Issue number (if applicable): .....

Please start my subscription with issue number: .......

    (if not specified, your subscription will start with the issue
    after the one on sale at the time we receive this form)

SIGNED: ...................................... DATE: ................

Thank you for taking out a subscription to Amiga Active Magazine.
Please send this form to the address below.

   Subscriptions,
   Amiga Active Magazine,
   Systems House,
   3-11 Spring Road,
   Bournemouth,
   Dorset,
   BH1 4PZ.
   United Kingdom.