Her Business Magazine Subscription Form

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I already have the ____________________________ issue/s.
SNR No. (if applicable): ______________________
Subscription No.: ______________________

Your details
First Name: ________________________________
Surname: ________________________________
Organisation: ________________________________
Postal Address: ________________________________
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Suburb: ________________________________
City: ________________________________
Post Code: ______________________
Country: ________________________________
Email: ________________________________
Contact Phone Number:
Country code: __________________________________
Area code: __________________________________
Ph. number: __________________________________

Details for the recipient
(If different from above)
First Name: ________________________________
Surname: ________________________________
Organisation: ________________________________
Postal Address: ________________________________
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Suburb: ________________________________
City: ________________________________
Post Code: ______________________
Country: ________________________________
Email: ________________________________
Contact Phone Number:
Country code: __________________________________
Area code: __________________________________
Ph. number: __________________________________


Gift Message:

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Send gift subscription to:
(Tick One)		     Myself   Recipient
Subscription Type
(Tick One)		     Standard Subscription   Gift Subscription   Renewal Subscription
Which Magazine?
(Tick One)		     Her Business Australia   Her Business New Zealand
Subscription Term
(Tick One)		     One Year Subscription   Two Year Subscription

Prices
  • NZ$48, AUST$48 for one year (6 issues)
    - includes GST & postage.


  • NZ$86, AUST$86 for two years (12 issues)
    - includes GST & postage


  • NZ$78 for one year (Rest of world)

Payment Details
You may pay by Credit Card, Cheque or Bank order. Please make cheques out to Niche Magazines(NZ) or Her Business Media(Aus)


Card Type:
(Tick One)

Visa   Amex   Mastercard
Card Number: ________________________________
Card Name: ________________________________
Expiry Date: _______________

When you've filled this form in, post it and your cheque to:
Niche Magazines Subscriptions
PO Box 1021,
Rotorua, New Zealand
Or

Her Businesss Media Subscriptions
GPO Box 4673
Sydney, NSW 2001
Or fax it to:

07 347 0502 or
+64 7 347 0502 (international) or
1800 148 931 (within Australia)


NB: you may only fax Credit Card orders, form can be posted with cheque or bank order.