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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 (pick one of the following options):

___ $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.)

___ $19.95 for PRINTED copy mailed to addresses within the United States.

___ $US 23.95 for PRINTED copy mailed to Mexico or Canada

___ $US 27.95 for PRINTED copy for all other locations worldwide

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:___________________________________________


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			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 (pick one of the following options): ___ $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.) ___ $19.95 for PRINTED copy mailed to addresses within the United States. ___ $US 23.95 for PRINTED copy mailed to Mexico or Canada ___ $US 27.95 for PRINTED copy for all other locations worldwide 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:___________________________________________

SCIENCE MADE SIMPLE SUBSCRIPTION FORM

SCIENCE MADE SIMPLE
SUBSCRIPTION FORM