Fax Payment for Gift Subscription of BR International

1. Complete ALL fields on the form below
2. Print this page
3. Sign at the bottom of the printed page
4. Fax this page to us: at +852 2317-5110
  My Contact Information:
 
  Mr. Mrs. Miss Ms. Dr. None
 
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  Please send my Gift Subscription of BR International to:
 
  Mr. Mrs. Miss Ms. Dr. None
 
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    Annual Subscription Rates valid until December 31,2005
 

 

    US$     HK$  

Hong Kong  

Local 51 395

Airmail  

Zone 1 (Asia except Japan & ME) 90 695
  Zone 2 (All other countries including Japan & Middle East)     97 750
Seamail   Zone 1 62 480

 

Zone 2 65 500

Registered  

additional charge 21 156
 
  Credit Card Payment:
 

Select Subscription Type  

 Hong Kong    Airmail    Seamail  |  Registered

Amount  

 US$  or  HK$  
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 MasterCard    Visa American Express

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Authorized Signature:

X ____________________________________
 
  Cheque/Draft Payment:
 
 *Cheque/Draft enclosed for   -  * US$ Cheques should be routed through New York

      Please make Cheque/Draft payable to "BR International Publishers Ltd" and mail to
      TST PO Box 96410, Kowloon, Hong Kong SAR.