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COINS MAGAZINE magazine subscription

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									COINS MAGAZINE
Magazine Subscription Order Form

Single Subscriber Version: Fax to 775-255-6247                     5455 Wilshire Blvd #1011, LA, CA 90036
Order online at http://www.magmall.com                                       Email: maggie@magmall.com
                                                                            888-255-6247 | 323-933-9291
Magazine: COINS MAGAZINE (CLS01)
Subscription Term: 12 Issues (12 per Year)
Category: Games
Retail Cost: $94.8 Your Low Price: $19.98
Online Link: http://www.magmall.com/prod-CLS01.htm


BILLING INFORMATION:
Name:          _______________________________________
Address:            _______________________________________
City, State, Zip:    _______________________________________
Company:             _______________________________________
Email:               _______________________________________
Phone:               _______________             Fax_______________


RECIPIENT INFORMATION:
o Ship to Billing Address

Name:          _______________________________________
Address:            _______________________________________
City, State, Zip:    _______________________________________
Company:             _______________________________________
Email:               _______________________________________

PAYMENT METHOD:

o Check o Visa o MC: o Amex o Discover
Card Number:                __________________________________
Authorization signature:    __________________________________
Expiration Date:           ____________       CVVS Code       ________

ABOUT THE MAGAZINE
This is a new addition to our selection.<br>Well add a description as soon as we can.
<br><br>Renew your current Coins Magazine subscription and your existing subscription will
be extended by the number of issues you purchase. Order a gift subscription and well send a
free gift card with your personal message to accompany your Coins Magazine gift subscription.
You can also select the date to have us send your electronic gift card. You can also order other
Games magazines for yourself, or your bu

								
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