Please complete in block capitals:

Name:

Address:

City:

Postcode:

Telephone:

Fax:

E.Mail:

Date:

Subscription Rates: $50.00 Yearly Rates.

How are you going to pay your subscription?
A Cheque
Direct debit to Lloyds Bank
Cash

thank you for filling the form...

Subscriptions can be accepted for one complete year only. Prices include surface delivery.