| |
Price |
Total |
| Membership: |
|
|
| 1-Year; Individual/Family |
$15.00 |
________ |
| 1- Year; Institution |
$35.00 |
________ |
| |
|
|
| Barquilla de la Santa Maria copies: |
|
|
| * Individual Issues: |
|
|
| ____________________________________ |
$1.00 |
$_______ |
| ____________________________________ |
$1.00 |
$_______ |
| ____________________________________ |
$1.00 |
$_______ |
| ____________________________________ |
$1.00 |
$_______ |
| ____________________________________ |
$1.00 |
$_______ |
| (attach additional page if needed) |
|
|
| |
|
|
| * Bound Volumes: |
|
|
| 1997-1999 |
$25.00 |
$_______ |
| 2000-2002 |
$25.00 |
$_______ |
| 2003-2005 |
$25.00 |
$_______ |
| |
|
|
| Grand Total (please calculate carefully): |
|
$_______ |
| |
|
|
| Membership/Shipping Info: |
|
|
| |
|
|
| Name(s): __________________________________________ |
|
|
| Address: __________________________________________ |
|
|
| __________________________________________ |
|
|
| Phone: _____________________ Email: _____________________ |
|
|