PINK Magazine Form

PRINT SUBSCRIPTION

Subscription Rate*
1 year (4 issues) @ $16.00
2 years (8 issues) @ $30.00

Subscription Info*
I am a NEW subscriber to PINK Magazine.
I am RENEWING my subscription to PINK Magazine.

I would like to be included on your mailing list
Yes
No

Choose City Issue*
Chicago Denver Los Angeles National San Francisco

Payment Method*
Check #

Credit Card Type # Exp. i.e. 04/2010
Please contact me for payment information

Credit Card Billing Address*

Name*
Address*
Unit/Apt #
City*

State*
Zip*
E-Mail*
Phone*

Shipping Address*

Same as Credit Card Billing Address

Name
Address
Unit/Apt #

City
State
Zip

* Required Field