 |
 |
|
|
|
|
Double Toe Times Subscription Information Please print this form, then fill out all of the information below and return to: The Double Toe Times P. O. Box 1352 St. Albans, WV 25177 Make checks payable to Double Toe Times Foreign subscribers – send POSTAL money orders only (from a Post Office). If you are asking to be billed to start your subscription, you may fax this competed form to us at (304) 776-9571, or copy the text and paste it into an email to doubletoetimes@aol.com. Thanks, and we hope you enjoy the Double Toe Times, the magazine of clogging!
Your Name_________________________________________________________________________________
Address to Mail Magazines___________________________________________________________________
City______________________________ST/Prov________Country______________Postal Code____________
Phone(s)___________________________________email___________________________________________
Please check the subscription level you would like and send to us to begin enjoying the Double Toe Times! [ ] PAYMENT ENCLOSED [ ] BILL ME
Magazine Subscription Only (12 monthly issues) [ ] Subscription (12 Issues per year) United States Residents $26.00 [ ] Subscription (12 Issues per year) Canadian Residents $32.00 Postal Money Order US Funds [ ] Subscription (12 Issues per year) Foreign Residents $50.00 Postal Money Order US Funds
Magazine Subscription PLUS monthly Instructors Directory Listing in Magazine Each issue of the Double Toe Times contains a Directory with listings of Instructors & Directors & Dancers throughout the clogging world. Over 1,000 are listed. Join this important networking opportunity. [ ] Subscription w/ Directory Listing (12 Issues per year) United States Residents $38.00 Postal Money Order US Funds [ ] Subscription w/ Directory Listing (12 Issues per year) Canadian Residents $38.00 Postal Money Order US Funds [ ] Subscription w/ Directory Listing (12 Issues per year) Foriegn Residents $50.00 Postal Money Order US Funds
Fill out below portion ONLY if subscribing WITH a Directory Listing in the back of each issue. If you are subscribing with a directory listing, please let us know how you would like it to appear in the magazine. Each line has 27 Characters. Use the three lines below your name to list your teams or groups, your teaching specialties or anything else you wish. Personal or team websites may be listed, but commercial sites may not.
[ ] I would like a • bullet before my name to show that I teach and promote traditional clogging styles.
Name_______________________________________________________________________________________________ Optional Line 1_______________________________________________________________________________________ Optional Line 2_______________________________________________________________________________________ Optional Line 3_______________________________________________________________________________________ Address____________________________________________________________________________________________ City, ST, Country, Zip__________________________________________________________________________________ Phone______________________________________________________________________________________________ Email_______________________________________________________________________________________________ Personal or Team Website (No commerce sites)__________________________________________________________
Mail this form with payment to: Doubletoe Times, P. O. Box 1352, St. Albans, WV 25177-1352
|
|
