*Prices include postage ORDER FORM Mail form to BCI Business Office, PO Box 8445, Metairie, LA 70011-8445, USA Fill in Method of Payment and indicate amount: I am enclosing my check/international money order for $__________ Please charge my VISA/MasterCard (circle one) for $____________ Please print Name__________________________________________________ Address ________________________________________________ _______________________________________________________ City______________________State_______________ Zip/Postal Code_________________Country_____________________ Email____________________________________________ Credit Card Number_________________________________________ Expiration Date__________________Order Date__________________ Daytime Telephone___________________Signature________________ Number of issues desired____________________________________________ ______________________________________ |
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