SUBSCRIPTION FORM

1. Please Indicate which of the following you would like:

   A 1 year subscription to IndZine (online rate of $8.85*!)
   A 3 year subscription to IndZine (online rate of $21.85*!)

2. Please provide the following Information:
   

   Name:
   Address1:
   Address2:
   City:
   State:
   ZIP:
   Phone:
   Email:
   Fax:

 

3. Please mail in a check for the subscription amount to

   Indzine
   1580 Oakland Rd, Ste C 203
   San Jose, CA 95131