Slot Car Enthusiast

Magazine Subscription Form

Name:   _________________________________________________________________

Company:   ______________________________________________________________

Street Address:   _________________________________________________________

City/Town:   ________________________________________

State/Province:   ____________________________________

Zip/Postal Code:   ___________________________________

Country:  ___________________________

Phone:  (            )  ________________________

Fax:  (            )  __________________________

Email:   ___________________________________________

Payment method:
Check  (    )      Money Order   (    )

Credit Card: _________________________________________

Credit Card Number: __________________________________

Expiration Date: _________________________

Cardholder Signature: _________________________________

Subscription Rates
(US Funds)
$3.50 Single Issue
$19.00 - 6 Issues
Ga. residents add applicable
sales tax

Canada - $22.00

Europe/S.America - $30

Far East/Asian Rim - $45

Please make checks payable to Slot Car Enthusiast
Return payment with completed Subscription Form to:

Slot Car Enthusiast
P.O. Box 930038
Norcross, GA. 30003 USA
Copyright 1999-2000 Slot Car Enthusiast