Courier Times Subscription Form

Please use your web browser to print the subscription form below, fill it out, and either mail or fax it to The Courier Times, 27-16 168 Street, Flushing, NY 11358, fax: (718) 359-1959. For individual orders only.



	$39 for 12 issues in one year.

	_____	Check Enclosed

	_____	send bill


	NAME: _____________________________________________________


	ADDRESS:  _________________________________________________


	___________________________________________________________


	___________________________________________________________

	
	TEL:  _____________________________________________________


	E-Mail: ___________________________________________________	
	
	Credit Card Information:
	
	Name on card: ______________________________________________


	Card #: _____________________________  Exp: ________________	
	
	
	Signature: _________________________________________________
	
	
	The Courier Times, 27-16 168 St., Flushing NY 11358
	tel: (800)495-9400 fax: (718) 359-1959
	e-mail: MrCourier@couriertimes.com