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I am a

My NPM Member Number is
(found above your name on NPM labels, first set of numbers before hyphen)

My E-mail address is

Name

Address

City State Zip -

One-year subscription

Mailed to individual addresses:
- Single copy $22
- 2-9 copies $17 per subscription (may be mailed to one or more addresses)

Mailed to one address:
- 10-24 copies: $11 per copy (mailed to one address only)
- 25-49 copies: $9 per copy (mailed to one address only)
- 50 or more copies: $7 per copy (mailed to one address only)

Canadian Postage: Please add $4 per subscription, other countries add $7 per subscription.
Please send Me (number of copies) at $ (rate: US funds only please)

For 2-9 copies, please list additional names and address in box below.

Total amount due

I authorize NPM to charge my

Name on Card:

Card Number: - - -

Exp. Date: (mmyy)

.