.
SUBSCRIPTION FORM
I wish to pay my subscription for:
March
August
20
Name, Surname
Payment Options
(15 Euro per issue) ( Post by DHL / FedEx + 20 Euro)
Jop Title
• Cash
USD
EURO
YTL
.
• Credit Card
Please charge the amount
USD
EURO
YTL
of from my Credit Card.
.
Please Tick
Visa
Master Card
Diners Clup
American Express
.
Credit Card Numbers
ccv
.
Expiry Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
• Also Payable
Yes
No
FORTIS Kapalicarsi Swift Code:
FORTIS 103 no: 301000430 - USD
Company Name
Address
City
State
Post Code
Country
Phone Numbers
Fax Numbers
E- Mail
.