Print Order Form To Order By Mail

SCIENCE MADE SIMPLE
SUBSCRIPTION FORM


Print this form, fill it out and mail it to:
Science Made Simple
P.O. Box 503
Voorhees, NJ 08043
USA

 

Please begin my subscription (ten issues) to Science Made Simple:

___ $11.95 for ON-LINE version, for any location worldwide.
(Click here to send us your E-mail address for our subscription list. Then complete the rest of this form. You will be notified by E-mail when each new issue is available.)

 

MONEY BACK GUARANTEE for unsent issues if you are dissatisfied for any reason.


SUBSCRIBER INFORMATION

Subscriber's Name: _____________________________________ Child's Age:______

Address: ________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

E-mail address:___________________________________ (required for Internet subscriptions)

 


PAYMENT OPTIONS

 

___ Enclosed is a check or money order (NOTE: There is a $20 fee charged for returned checks. All checks and money orders MUST be in U.S. dollars and drawn on a U.S. bank.)

Please charge my credit card:

___ MasterCard
___ VISA

Credit Card Number:_______________________________

Expiration Date:____________________

Cardholder's Name:_________________________________

Phone Number:_________________________________

Billing Address:______________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

 

Signature of Cardholder:___________________________________________