|
Subscription : Fill out form and click Submit below or print and fax to: (217) 268-4815
Contact Name
Company
Street Address
City
State
Country
Zip Code
Telephone
Fax
E-mail
I am already receiving Broom, Brush & Mop and I want
to continue as I am.
I would Like to start a Broom, Brush & Mop Subscription.
Important: Check one box in each of the three categories.
I. What is your title?
A.
Owner/President
B.
Corporate Officer
C.
Sales Executive
D.
Purchasing Agent
E.
Indp. Mfg. Rep.
F.
Other
II. What is your primary business?
A.
Dist./Wholesaler
B.
Indp. Mfg. Rep.
C.
Manufacturer
D. Other
Credit Card Information:
Cardholder's Name:
Visa
Mastercard
Acct. Number:
V-Code:
3-digits following card number on back of card
Exp. Date:
Subscription Rates
One Year:
United States: $25
Canada & Mexico: $35
All Others: $100 (includes first class air mail postage)
First Class Postage can be arranged for United States, Canada and Mexico.
Single Copies:
Subscribers: $2
Nonsubscribers: $5, postage extra.
Suppliers Directory: $10 per copy.
|
