Subscription Q
SUBSCRIBE NOW TO HAVE FOUR Q UEST ISSUES MAILED TO YOU! and place your order for back issues
(subject to availability)
Subscription form 2007 I would like to subscribe to 4 issues of QUEST: Science for South Africa. My details are (please print): Title: _______________ Name/Initials: _______________________________ Surname: _______________________________________________________ Company/university/institution/school: ____________________________ Student number (to qualify for student rates): _______________________ Postal address: __________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Code: ________________ Work tel.: (
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Cell: ______________________________________
Fax: (
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Home tel.: (
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e-mail: ______________________________________________________________________________
When would you like your subscription to begin? (Please tick appropriate box.)
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With the next issue?
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Date: _____________________________________ Signature: ______________________________________________________________________________
Subscription rates (4 issues incl. postage) Please tick appropriate rate. South Africa Neighbouring countries (Southern Africa) Foreign
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Individuals/Institutions – R 95.00 Individuals/Institutions – R160.00 Individuals/Institutions – R180.00
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Students/Schoolgoers – R 45.00 Students/Schoolgoers – R120.00 Students/Schoolgoers – R140.00
PLEASE NOTE NEW PAYMENT OPTIONS Payment options
Please select and tick your payment option below.
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CHEQUE: Enclose your cheque in South African rands made payable to ACADEMY OF SCIENCE OF SOUTH AFRICA (together with this completed Subscription Form)
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DIRECT DEPOSIT: Use reference QUEST SUB on your deposit slip and deposit your subscription as follows:
Bankers: Standard Bank Rondebosch Account Number: 07 149 422 7 Branch code: 025009 Account name: Academy of Science of South Africa POST the completed Subscription Form together with your cheque or a legible copy of your cheque/deposit slip to: QUEST MAGAZINE, PO Box 1011, Melville 2109, South Africa OR FAX the Subscription Form together with deposit slip to: QUEST SUBSCRIPTIONS (011) 673 3683. Subscription enquiries: (011) 673 3683 OR (012) 804 7637 OR e-mail: editor.quest@iafrica.com OR quest.subscription@gmail.com
48 Quest 3(2) 2007