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Subscribe to The
Crossroads
Please print and fill out this form and post to:
The Crossroads,
PO Box 1200,
Belconnen, ACT 2616
Australia
Enquiries: Ph. 02 6230 2272
Your details
Full name
Address
Email:
PAYMENT information
* Cheques or money orders should be made payable to The Crossroads and posted to the address above.
* By credit card (Bankcard, Visa or Mastercard). For credit card
payments, please provide the following details:
Exact name as it appears on your card:
Card/account number:
Card expiry date:
Card type (please tick):
VISA
Mastercard
Bankcard
Amount enclosed: $..................... - AU$21.00 for 12 months
(4 issues) or AU$42 for 24 months (8 issues)
Signature
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