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Crown & Sword Subscription Form

Date:  ___________________________ 

 

Enclosed is my fee for subscription to the Crown & Sword:

 

Fee U.S. $ ____________   Canadian  $   ____________   Overseas  $  ____________ 
                
(per year - $10.00)                     (per year - $15.00)                   (per year - $15.00)
                                                                     (Canadian/Overseas - U.S. Currency Only)

 (YOU MAY SUBSCRIBE FOR MORE THAN 1 YR.)

___ New Sub 

___ Renewal Sub.

 

Name:___________________________________________________________________

 

Street:___________________________________________________________________

 

City:__________________________  State:  ______________  Zip:  _________________

 

Forward SUBSCRIPTION FEES to your NEWS REPRESENTATIVES, or send to:

 Supreme Council Order of Amaranth, Inc.
6417 Normandy Lane, Suite 203
Madison, WI 53719-1184

(Make checks payable to Supreme Council, Order of the Amaranth)