SUBSCRIBER NUMBER
(if available--appears above your name on magazine's white mailing label)

Current Address

Last Name

First Name

Organization (Optional)

Street Address

Street Address (PO Box, Rural Route, Apt./Lot No.)

City

State/Province

Postal Code

Country (required outside USA)

() - Daytime Phone Number

E-mail Address (Example: Sample@sample.com)

Temporary Address

The following address will be effective
FROM TO .
(mm-dd-yyyy or mm/dd/yyyy - Example November 5, 2000 = 11/05/2000)

Last Name

First Name

Organization (Optional)

Street Address

Street Address (PO Box, Rural Route, Apt./Lot No.)

City

State/Province

Postal Code

Country (required outside USA)

() - Daytime Telephone Number

E-mail Address (if different from above)

Check here if you would like to have this information added to our regularly changing address file. This is ideal for snowbirds who travel between two addresses at the same time each year. If you check this box, we will automatically change your address at the appropriate times during the year.