FORM:
___ Please send me a free sample issue of The Bloomsbury Review®.
___ Please send me advertising information.
___ I would like a (circle one: one-year, two year, three year) subscription.
Subscription Rates: (All funds in US dollars)
One year (6 issues) |
Two years (12 issues) |
Three years (18 issues) |
|
USA | $18.00 | $32.00 | $42.00 |
CANADA | $25.00 | $45.00 | $63.00 |
OVERSEAS | $40.00 | $72.00 | $105.00 |
Name: _______________________________________________
Address: ____________________________________________
City/State/Zip: _____________________________________
___ I would like to send Gift Subscriptions to the following booklovers®:
My name is: _________________________________________
Name: _______________________________________________
Address: ____________________________________________
City/State/Zip: _____________________________________
Name: _______________________________________________
Address: ____________________________________________
City/State/Zip: _____________________________________
Name: _______________________________________________
Address: ____________________________________________
City/State/Zip: _____________________________________
Name: _______________________________________________
Address: ____________________________________________
City/State/Zip: _____________________________________
Please send me the following titles:
The Bloomsbury Review®
BookLover's® Guide,
$12.95 paperback. (out
of stock)
(Colorado residents, please add $.95 tax per
book)
___ Signed & Numbered Limited Edition,
$59.95.
(Colorado residents, please add $4.38 tax per
book)
Please add $3.00 for postage for sending one
book;
$5.00 for two; $6.00 for three or more titles.
Total cost of books: _________
Tax (if applicable): _________
(Tax ID #: _____________________)
Shipping & Handling: _______
I have enclosed a total of: __________
Please charge to my VISA/MasterCard:
Card #: _______________________________ Exp. Date: _____
Name (Please Print): ___________________________________
Send to:
Name: _______________________________________________
Address: ____________________________________________
City/State/Zip: _____________________________________
Please return this form to:
The Bloomsbury Review®
1553 Platte Street, Suite 206
Denver CO 80202-1167 USA
Ph: (303) 455-3123; Fax: (303) 455-7039
E-mail: orders@bloomsburyreview.com