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V1N6

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NAME: ADDRESS: CITY: COUNTRY: TEL: ST: FAX: yes, I would like the following issues: o PREMIERE, $100 NA JAN/FEB, SOLD OUT o MAR/APR, $10 o MAY/JUNE, $10 o JUL/AUG, $10 SUB-TOTAL POSTAGE COST ZIP: ($ 1.50 PER ISSUE, $3 FOR FOREIGN ADDRESSES) TOTAL ENCLOSED FORM OF PAYMENT o CHECK ENCLOSED o PLEASE BILL MY CREDIT CARD VISA MC AMEX CARD # _________ EXP. DATE TO ORDER PLEAS E RETURN BY MAIL TO: BLUE, CIRCULATION DEPT., 61 1 B'WAY, STE. 405, NYC, NY 10012 OR CALL AMY ALBANO @ 21 2 777 0024

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