MAGAZINE SERVICES INC Secure Order Form

	MSI MAGAZINES Secure Order Form

You are now in a secure area. Information you enter here will be transmitted in encrypted form to our secure server
when you press the ORDER NOW! button at the bottom of this page.

So that we can acknowledge your order, please enter your Email address accurately!

If you have moved - we need to know the complete new address!

If you have not ordered from us before, please fill out the form completely.

BILLING ADDRESS for Credit Card:

** First Name ** Last Name

** Address 1 Address 2

** City ** State (2-letter abbrevtn) ** Zip/Postal Code

** Country ** Your E-mail Address

Shipping Address (Enter only if different from Billing Address).

Enter Type of order: Order for Magazine Back Issues Order for NEW Magazine Subscription Order for RENEWAL Magazine Subscription

** State Quantity, Item Ref #, Brief Description or Name of Magazine and Price;

** Card Number ** Exp Date MM/YY

** Daytime Phone Number

** Card Type: MasterCard Visa American Express Discover

Telephone 800-356-8007 or 732-529-6310 to place urgent orders.
FAX 732-659-7821

Magazines: all magazine sub rates include postage by mail. There are no extra 'shipping charges'. ** indicates a mustfill field.

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MSI MAGAZINES Secure Order Form

MSI MAGAZINES
Secure Order Form