New Mexico Woman Subsciption Form
Please print this form and send it to NM Woman via mail or fax:
New Mexico WOMAN, Inc.
P.O. Box 12955 • Albuquerque, NM 87195
Phone: (505) 247-9195 • Fax: (505) 842-5129 • heygals@nmwoman.com
| Contact Information | Subsciption Information | |||||
| First Name: |
1 Year (12 issues) $28.50 2 Years (24 issues) $38.50 (* best buy) 3 Years (36 Issues) $64.50 |
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| Last Name: | ||||||
| Address: | Billing Information | |||||
| (as it appears on Credit Card) Full Name: | ||||||
| City: | ||||||
| State: | Credit Card Number: | |||||
| Zip Code: | - - - | |||||
| e-mail: | Expiration Date: | / | ||||
| Phone: | - - | CCV #: | ||||
| Fax: | - - | Yes, I want to advertise | ||||