Please print this form to fill it out.

Please note: Third Class Postage rate is not available for subscriptions to Canada, Mexico, FPO, APO or correctional facilities; please use First Class (see below).
___ $36.00 for one year via Third Class Postage (new subscriptions). Delivery time 2-3 weeks. The Postal Service will not forward third class mail, so you must make with us in advance.
___ $36.00 Third Class Renewal (current subscriptions only!)
___ $72.00 Third Class for Two Years
___ $55.00 for one year via First Class Postage (new subscriptions). Delivery Time 2 to 3 days. Subscriptions to Canada, Mexico, FPO and APO [U.S. Military], and correctional facilities MUST be First Class.
___ $55.00 First Class Renewal (current subscriptions only!)
___ $110.00 First Class for Two Years

___ Gift Subscription. Gift Card to read from:



Name:



Address:



City:



State & Zip:


Phone
Number(s):


email
Address:


___ I'll pay with a credit card ($12 minimum)

___MasterCard ___VISA ___American Express

Number:


Exp. Date: ___/___ Amount $_______ csv code_______

___My check #_______ is enclosed. ___A money order is enclosed.
(Don't worry - we don't sell our lists and we don't do telemarketing!)
Mail this form with credit card info or check to:
Latitude 38 Subscriptions, 15 Locust Ave., Mill Valley, CA 94941