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Nature North Subscription Form

Fill in this form by typing in the information in the spaces provided. Then print out this page and mail it with your cheque to:

Nature North Zine
960 Garfield Street
Winnipeg, Manitoba, Canada
R3E 2N6

Please make your cheque or money order payable to: Nature North Zine.

Thank-you for helping Nature North Zine promote "Conservation Through Awareness".


Name:

Address:

City & Province / State:

Postal Code:

Email:


Remember, this is a voluntary subscription, so please feel free to contribute whatever amount you choose. However, we can only supply your choice of wallpaper image CD or Wildflower Seed Pack if you choose an amount that at least meets our minimum suggested category. For $20 of support above the suggested category receive BOTH the wildflower seed pack and the wallpaper image CD!

Subscription Category:

Amount of Subscription:

Name you wish subscription to be under (if different from above, e.g.. "In the name of.."):

Choice of wallpaper image CD (#1, 2, 3 or 4) OR wildflower seed package (Prairie Wildflowers, Easy-to-Grow, or Butterfly Mix). For $20 more get BOTH! OR enter "no thank-you" if you want neither.

 Additional Comments or instructions you wish to include:

 

Thanks again for your support. Please allow a few weeks for processing and expect an email reply.

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