Untitled Document

YES! I want to take advantage of these Special Savings and give the gift of Living Without
for only $23 for each yearly (6 issues) gift subscription (up to 35% off the regular rate).

Subscription term: * required field
     Gift Recipient(s):
1   Send Gift 1 (1-year subscription) for $23.00 to:
  Add $10.00 for Canada, US Funds
  Add $20.00 for other countries, US Funds
Title
* First Name
* Last Name
Suffix
* Address 1
Address 2
* City
* State/Province
* ZIP/Postal Code
Country
 E-mail Address
2   Send Gift 2 (1-year subscription) for $23.00 to:
  Add $10.00 for Canada, US Funds
  Add $20.00 for other countries, US Funds
Title
* First Name
* Last Name
Suffix
* Address 1
Address 2
* City
* State/Province
* ZIP/Postal Code
Country
 E-mail Address
3   Send Gift 3 (1-year subscription) for $23.00 to:
  Add $10.00 for Canada, US Funds
  Add $20.00 for other countries, US Funds
Title
* First Name
* Last Name
Suffix
* Address 1
Address 2
* City
* State/Province
* ZIP/Postal Code
Country
 E-mail Address
4   Send Gift 4 (1-year subscription) for $23.00 to:
  Add $10.00 for Canada, US Funds
  Add $20.00 for other countries, US Funds
Title
* First Name
* Last Name
Suffix
* Address 1
Address 2
* City
* State/Province
* ZIP/Postal Code
Country
 E-mail Address

 
     Your Billing Information:
* First Name Title
* Last Name Suffix
* Address 1 Address 2
* City * State/Province
* ZIP/Postal Code Country
E-mail Address

 
     Method of Payment:

     Visa MasterCard Discover American Express

         * Card Number (please omit blanks or dashes)     /    * Expiration Date

Untitled Document

For Canadian and Foreign gift orders, please call 800-474-8614 or
email: Customer_Service@LivingWithout.info