ORDER YOUR BACK ISSUE OF FAZE MAGAZINE

ONLY $7.50 PER COPY

PRINTABLE ORDER FORM

I WANT THE FOLLOWING ISSUES:

ISSUE #____________WITH__________________________________________________ON THE COVER X____________COPIES

ISSUE #____________WITH__________________________________________________ON THE COVER X____________COPIES

ISSUE #____________WITH__________________________________________________ON THE COVER X____________COPIES

ISSUE #____________WITH__________________________________________________ON THE COVER X____________COPIES

RECIPIENT INFO:

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Print Full Name

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Address

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City .............................................. Province ................................................................ Postal Code

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E-mail Address ............................................................................. Birth Date (D/M/Y)

1 VISA #_________________________________ Exp. ____/____ 1 Cheque* Enclosed

VISA Cardholder Name_______________________________________________________

Price includes all taxes, postage and handling.
Please allow 2-4 weeks for delivery.
*Please make cheques payable to: FAZE PUBLICATIONS INC.


IF ORDERING FROM:
United States..............................$7.50 (U.S. Dollars)
Outside U.S. or Canada...............$10.00 (U.S. Dollars)