Annual Magazine Subscription Form

Please enter name of magazine and the issue number you want your subscription to start with (if known).

I enclose a cheque made payable to The Cotton Patch

I authorise you to debit my credit card

Mastercard Visa Switch American Express

Credit Card number:

Expiry Date

Start Date (Switch only)

Issue No. (Switch only)

Name

Address

Post Code

Tel. No:

Signed_______________________ Date________________________

Please complete this form and send to:

The Cotton Patch, 1285 Stratford Road, Hall Green, Birmingham, B28 9AJ, England, or fax to 0121 778 5924