|
Please print this form and fill it out, or write the information on
a separate sheet of paper.
Mail forms and payments (U.S funds) to:
Studio Potter
P.O. Box 352
Manchester, NH 03105-0322
or FAX toll-free: 866.583.0710
email questions to:
subscriptions@studiopotter.org
1. Subscription type: (select one)
| Category |
Domestic |
Canadian |
Foreign |
| |
One Year |
Two Years |
One Year |
Two Years |
One Year |
Two Years |
|
Subscriber
|
$35 |
$66 |
$40 |
$75 |
$45 |
$85 |
2. Check one:
3. Start subscription with: (select one)
- Current issue (Vol. 36, No. 1 - Winter 2007)
- Next issue (Vol. 36, No. 2 - Summer 2008)
- Volume ________, Number _______
4. Send to:
| NAME |
______________________________________________________ |
| ADDRESS |
______________________________________________________ |
| CITY, STATE, ZIP |
______________________________________________________ |
5. Amount:
| $_____________ |
Subscription |
| +_____________ |
Books and back issues (please attach order form Postage Rates Apply)
|
| +_____________ |
Please consider adding a tax deductible gift to support the
publications, educational services, and activities sponsored by Studio Potter.
Studio Potter is registered with the IRS as a non-profit organization. |
| $_____________ |
Total Enclosed |
- Check or money order enclosed (U.S. funds)
- Visa or Mastercard:
| CARD NUMBER |
______________________________________________________ |
| EXPIRATION DATE |
______________________________________________________ |
SIGNATURE |
______________________________________________________ |
My Email Address |
______________________________________________________ |
|