Subscription
Order Form | Please
print, complete and return this form to the address below. | |
| I
would like to: | | | Subscribe
or extend my subscription to The Cotswold Review
| ............ | (tick
as appropriate) | | Arrange for a friend
or relative to receive copies of The Cotswold Review | ............ | (tick
as appropriate) | | For 6 consecutive
issues, beginning with and including issue | ............ | (enter
issue i.e. May/June 2005) | | | | |
| Subscriber's
details | Recipient's
details if different | | First name | ............................................. | First
name | ............................................. | | Surname | ............................................. | Surname | ............................................. | | Mr/Mrs/Ms | ............................................. | Mr/Mrs/Ms | ............................................. | | Address | ............................................. | Address | ............................................. | | ............................................. | | ............................................. | | ............................................. | | ............................................. | | Post
code | ............................................. | Post
code | ............................................. | | Country | ............................................. | Country | ............................................. | | | | | | | Email | ............................................. | Email | ............................................. | | Telephone
no. | ............................................. | Telephone
no. | ............................................. | | | | | |
| Payment
details | | | | | I
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(total including P&P (see prices below) | | Or
please debit my Mastercard ............... Visa ............... Switch/Maestro
............... (tick as appropriate) | | Card
No. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Valid from
... .../ ... ... Expiry date ... ... / ... ... | | Switch
/ Maestro issue no. ... | Cheques
should be made payable to The Cotswold
Review. Please do not send cash. | | | | | |
| UK
and overseas prices | | | | | Price | 6
issues (year) | P&P | Total | | UK
| £12 | £6 | £18 | |
Europe | £12 | £10 | £22 | | US/Canada | £12 | £20 | £32 | | Aus/NZ | £12 | £20 | £32 | | Japan | £12 | £20 | £32 | | South
Africa | £12 | £20 | £32 | | Rest
of the World | £12 | £20 | £32 | | P&P
prices as per Post Office rates, valid from April 2005 |
How
to order
PHONE call 01367 850093
POST
please complete the above order form and send to: The Cotswold Review, PO BOX
37, Lechlade,
GLOS, GL7 3ZX
FAX
please complete the above order form and fax to: 01367
850026 |