Order form 2 Multiple Subscribers
SUBSCRIPTION ORDER FORM
Corporate Accounts • Single Subscriber Version

 MagMall.com
6310 San Vicente Blvd, #404
Los Angeles, CA 90048

Email: maggie@magmall.com
Toll-free: 888-ALLMAGS (255-6247)
Phone: 323-933-9291 Fax: 775-255-6247


Billing/Donor Information

Name ________________________________________ Company  _____________________________
Address ______________________________________ Email   _______________________________
City, State, Zip ________________________________
 Phone _____________ Fax_______________

 Payment Method:
__ Check __Visa __MC: __Amex __Discover Your client ID here ____________________
Card Number _________________________ Authorization signature _________________
Expiration Date _______________________
 Order Date __________________
Send me an invoice _______

Subscriber Information - Leave address blank if shipping to billing address

Name ___________________________________ Magazine Title _________________________
Address _________________________________ Issues ____   Copies ____    Price $ ________
Address _________________________________ New Subscription ___   Renewal ___   Gift ___
City, State, Zip ___________________________ Gift Message ________________________

Name ___________________________________ Magazine Title _________________________
Address _________________________________ Issues ____   Copies ____    Price $ ________
Address _________________________________ New Subscription ___   Renewal ___   Gift ___
City, State, Zip ___________________________ Gift Message ________________________

Name ___________________________________ Magazine Title _________________________
Address _________________________________ Issues ____   Copies ____    Price $ ________
Address _________________________________ New Subscription ___   Renewal ___   Gift ___
City, State, Zip ___________________________ Gift Message ________________________

Name ___________________________________ Magazine Title _________________________
Address _________________________________ Issues ____   Copies ____    Price $ ________
Address _________________________________ New Subscription ___   Renewal ___   Gift ___
City, State, Zip ___________________________ Gift Message ________________________

Name ___________________________________ Magazine Title _________________________
Address _________________________________ Issues ____   Copies ____    Price $ ________
Address _________________________________ New Subscription ___   Renewal ___   Gift ___
City, State, Zip ___________________________ Gift Message ________________________


Ordering Instructions:
  1. Make checks payable to: Magazine Mall Inc.
  2. Fax this order form to 775-255-6247 or email the information to maggie@magmall.com
  3. Print this form and mail it to the address above c/o "Corporate Subscriptions"