SUBSCRIPTION ORDER FORM
Corporate Accounts • Single Subscriber Version

For an online version of this form, go to:
http://www.magmall.com/corporateorders.html

 MagMall.com
5455 Wilshire Blvd
Suite 1011
Los Angeles, CA 90036

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

Name ___________________________________________________________________
Address __________________________________________________________________
Address __________________________________________________________________
City, State, Zip _____________________________________________________________

Magazine Title New/Renew Years Copies Price
________________________________ N     R _________ _________ $ _________
________________________________ N     R _________ _________ $ _________
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Ordering Instructions:
  1. Make checks payable to: Magazine Mall Inc.
  2. Fax this order form to 775-ALL-MAGS (255-6247) or email the information to subscriptions@magmall.com
  3. Print this form and mail it to the address above c/o "Corporate Subscriptions"