SUBSCRIPTION FORM
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(Please print this form, fill out and post or fax as per details below)

I would like to subscribe to the next two issues of AJRM. Please send them to:

NAME: ____________________________________________________

ADDRESS: ________________________________________________

_________________________________________________________

PHONE: ________________________ E-MAIL: _________________________

Please check this box if this is a subscription renewal

Subscription Rates for 2 issues: (please check the appropriate box below)

Within Australia - $19.00

Overseas - $A24.00 (Airmail)



Payment details - Please check one:

Cheque / Money Order* ($A) payable to Proto-HO Pty Ltd enclosed - OR

Please charge the above amount to my credit card

CARD TYPE: Visa / Mastercard / Bankcard*

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NAME ON CARD: ____________________________ EXPIRY DATE: _____/_____

SIGNATURE: _______________________________________

Please post completed form to: PO Box 1685, GRAFTON NSW 2460

OR send by fax to: (02) 6642 5497 or 61-2-6642 5694 (International)