SUBSCRIPTION FORM
Select method of payment:
Credit Card
Check
If paying by check, complete & print out this form - now
and mail in with check
Payable to
Pigstuff/Herd
112 Porter Road, Howell, NJ 07731
If paying by credit card, complete and select "Submit Order by E-mail".
Choose Subscription Type:
USA $25 or
Non USA $34
1st Time Subscriber or
Renewal
Name:
Address:
City:
State:
Zip/Postal Code:
Country
Phone Number:
FAX Number:
E-Mail Address:
Credit Card:
VISA
MasterCard
Discover
American Express
Sending Check
Credit Card Number:
Expiration Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Name on Credit Card:
Other Information/Comments
:
By submitting this form I authorize you to debit my credit card
for the proper subscription amount (in US funds) via
Great Impressions/Pigstuff
PRESS ONLY ONCE & WAIT
Now that you've paid for your subscription - why not join our listserver?
Click to subscribe to the Herd Listserver