Pacifica: Australasian Theological Studies

Subscription form 2006

Please print and post or fax this form to our business manager, Mark Crees (details below)

Title:_______ First name:_______________Surname:___________________________

Delivery address: ________________________________________________________

City:_________________ State:______________________________Postcode:_______

Country:____________________________

I would like to subscribe to Pacifica:

Put a x in the relevant frames:

Personal: 1 year $AUD 48.00 [ ]

2 years $AUD 90.00 [ ]

Institutional: 1 year $AUD 65.00 [ ]

2 years $AUD 110.00 [ ]

Special rate for Theology students:

$AUD 35.00 per year [ ]

Institution (for student subscribers only):________________________

ALL overseas subscribers add:

Zone A: Africa, Europe, U.K., U.S.A. $AUD 16.50 [ ]

Zone B: Asia, India, N.Z., Pacific. $AUD 11.00 [ ]

Australia Post has abolished surface mail for Pacifica's weight category.

Subscription amount:____________

Postage (if applicable): __________

Total:__________________________

Payment must be in Australian dollars.

Please make cheques payable to: Pacifica Theological Studies Association Inc.

Or please charge my Credit Card:

Bankcard [ ]; Mastercard [ ]; Visa [ ]

Card no: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __

Expiry date: __ / __

Signature: ____________________________

Name on card: __________________________

Please return form with payment to:

post to: Mr Mark Crees

Business manager

Pacifica

PO Box 271

Brunswick East VIC 3057

Australia

or fax to: Mark Crees, Pacifica, 61 (0) 3 9347 6371