NAME: ADDRESS: CITY:
COUNTRY: TEL:
ST: FAX: yes, I would like the following issues:
D PREMIERE, $100 NA
D MAR/APR, $10 D MAY/JUNE, $10
D JUL/AUG, $10 D SEP/OCT, $10 SUB-TOTAL
POST AG E COST ($1.50 PER ISSUE, $3 FOR FOREIGN ADDRESSES)
TOTAL ENCLOSED
FORM OF PAYM ENT D CHECK ENCLOSED
D PLEASE BILL MY CREDIT CARD VISA
MC AMEX CARD # _________ EXP. DATE TO ORDER PLEASE RETURN BY MAIL TO: BLUE, CIRCULATION DEPT..
61 1 BWAY, STE. 405, NYC, NY 10012 OR CALL AMY ALBANO @ 212 777 0024
JAN/FEB, SOLD OUT
ZIP:
