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| Name: _____________________________________________________ |
| Address: ___________________________________________________ |
| __________________________________________ |
Post Code: ______ |
| Please tick one of the options below: |
| ____ $24 for FIVE ISSUES (New Zealand) |
| ____ $48 for ONE YEAR'S Subscription (11 issues) (New Zealand) |
| ____
$22 for FIVE ISSUES (New
Zealand, UNWAGED) |
| ____ $44 for ONE YEAR'S Subscription (11 issues) (New Zealand, UNWAGED) |
| ____ Australia and South Pacific: $65 per year |
| ____ Rest Of The World: $70 per year |
| I enclose a cheque for $________ (payable to Tui Motu - InterIslands) |
| or please debit my credit card (Visa / Mastercard) (delete one) |
| Card No: ___________________________________________________ |
| Expiry date: ________________________________________________ |
Signature: _________________________________________________
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