Subscription

Off-line Subscription: ATTN: Khun Ruttikarn

__ NEW ORDER __ RENEWAL FORM

Please print this form, fill-up pertinent information and send it by fax to:

Dragon Art Media :143/1-2 Soi Dumex, Charoen Nakorn Rd., Klongtonsai, Klongsarn, Bangkok 10600 Thailand. Tel: +66 (0) 2 861 3360-4 Ext 203, Fax: +66 (0) 861 3363

FOR THAILAND ONLY:

Full name as in credit card
Address as in credit card
Tel Nos.
Fax:
Email:
Send me ( ) 4 editions ( ) 8 editions Rates: 4 editions: 600 Baht 8 editions: 1,100 Baht
( ) VISA ( ) MASTERCARD ( ) AMEX ( ) JCB ( )SCB CARD
Credit Card No:
Last 3 or 4 digits
Expiry Date
Signature

FOR OTHER COUNTRIES:

Full name as in credit card
Address as in credit card
Tel Nos.
Fax:
Email:
Send me ( ) 4 editions ( ) 8 editions Rates: 4 editions: US$40.00 8 editions: US$ 75.00
( ) VISA ( ) MASTERCARD ( ) AMEX ( ) JCB ( )SCB CARD
Credit Card No:
Last 3 or 4 digits
Expiry Date
Signature

Delivery Policy: this order will begin with the first possible, new edition. Address changes may be made by contacting Subscription Department. Returns/Refund Policy: products purchased with this cannot be refunded but may be exchanged if faulty.

For subscription enquiries: please email: subscriptions@phuketmagazine.com