At-One-Ment Order Form

At-One-Ment
The True Nature of Being
INSTRUCTIONS
(1) Print this form.
You may either print it as a blank form and fill it in by hand, or you may type in the information before printing.
(2) Mail check or money order with the completed order form to the address below.

MAIL TO ME:

Name:

Street Address:

(more address):

City:

State/Prov:

Postal Code:

I would like to send a gift subscription to:

MAIL TO MY FRIEND:

Name:

Street Address:

(more address):

City:

State/Prov:

Postal Code:

Cost $3.00 (US) per bi-monthly issue

Rates effective 01 July 2010

Subscription rate - 1 year

$17.00   (6 issues) in USA

Subscription rate - 1 year

$18.50   (6 issues) outside of USA

PLEASE NOTE!
We are not equipped to handle credit card orders over the phone or through the internet. We appreciate your cooperation.

Payment enclosed:
   Do not send cash!

Money Order
Check  Chk #:


Did you know?:
The Post Office cost to the Federation for undelivered magazines is $.85

So please send your change of address to us at the earliest possible moment --
We don't want you to miss a single issue!

Make your check payable to:

  Divine Science Federation International (DSFI)
  110 Merchants Row / Suite 4
  Rutland VT   05701

Phone:   800 . 644 . 9680
Local:     802 . 779 . 9019

Divine Science Everywhere

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