ocr: SUBSCRIPTIONS Please send me: 1x 12 month subscription @ $150=$ 1x 6r month subscription @ $80=$ X - back issue # a $14.95 ea $ TOTAL =S $ Name: (credit card payments - list name as appears on card) Address: (credit card payments - list home address, not business or PO box) postcode Phone: (BH) (AH) Email Please charge my (tick): Mastercard Visa Bankcard Credit card number: Card valid from: to Signature: Please make cheques payable to: Robot Madness Pty Ltd Send payment and this form to: THE DISC SUBSCRIPTIONS ROBOT MADNESS LEVEL2, 11-17 DORCAS STREET SOUTH MELBOURNE VIC 3205 Fax: 03/96908337
