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Archived: 10/12/2001 at 01:53:28
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Dialogue
A publication of Blindskills Inc.
Subscription Information
Tip: It may be useful to print this page to complete and mail in.
DIALOGUE Subscription Form
For one year's subscription (4 issues)
send your subscription/donation to:
Blindskills, Inc.
P.O. Box 5181
Salem, OR 97304-0181
Phone: (800) 860-4224
(503) 581-4224
Fax: (503) 581-0178
E-Mail: blindskl@teleport.com
Web Site: www.teleport.com/~blindskl
Subscription/donation rates: $28.00 for legally blind readers and $40.00 for not legally blind readers.
Name:___________________________________________________________
Agency (if any):________________________________________________
Street:_________________________________________________________
City:______________________________ State:_____ Zip:____________
Country/Postal Code:___________________________
Telephone:___________________
Please indicate the number of subscriptions you would like in each
format:
_______Braille ______Cassette ______ Large Print _______IBM Diskette
Total Subscriptions:_______ X 28.00 (or $40.00) = Enclosed amount: $
_________________
VISA/MC number:________________________________________ Exp. Date:
__________
Authorized Signature:
_______________________________________________________
FREE samples of DIALOGUE are available. Call 800-860-4224.
Important:
The following item is required by the United States Postal Service in order to document
the FREE MATTER eligibility of our readers. Please select those that apply:
This magazine is for the use of one or more persons who are:
___ Legally Blind ___ Deaf/Blind ___ Not Legally Blind
Please correspond in: ___ Braille ___ Print
