Credit Card Magazine Subscription Form

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

Magazine Title	Issue number (if known)

I have read and agree to the terms and conditions. I understand that you will charge to my credit card the cost of the magazine(s) plus postage, as and when issues are despatched to me.

Signed_______________________ Date________________________

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:	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