SCIENCE MADE SIMPLE
SUBSCRIPTION FORM

FOR PAYMENT BY CREDIT CARD, BY MAIL

For an on-line subscription, Click here to send us your E-mail address for our subscription list. Then complete the rest of this form. You will be notified by E-mail when each new issue is available.

For all subscribers, print this form, fill it out and mail it to:
Science Made Simple
P.O. Box 503
Voorhees, New Jersey 08043
USA

Please begin my subscription (ten issues) to Science Made Simple and charge my credit card (pick one of the following options):

___ $11.95 for on-line copy, for any location worldwide

___ $19.95 for printed copy mailed to addresses within the United States.

___ $US 23.95 for printed copy mailed to Mexico or Canada

___ $US 27.95 for printed copy for all other locations worldwide

MONEY BACK GUARANTEE for unsent issues if you are dissatisfied for any reason.

Type of credit card:

___ MasterCard

___ VISA

___ American Express

Subscriber's Name: _____________________________________ Child's Age:______

Address: ________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

E-mail address:___________________________________ (required for Internet subscriptions)

Credit Card Number:_______________________________

Expiration Date:____________________

Cardholder's Name (if different than Subscriber):_________________________________

Billing Address (if different than subscription address):______________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Signature of Cardholder:___________________________________________

For information on group discounts, or any other questions, contact us at questions@sciencemadesimple.com