Print + fax this form to Truth in Media, plus mail your check to address shown below SUBSCRIBE ME! YES! Please add me as a new Truth in Media subscriber. I wish to contribute US$__________ Please send me the Truth in Media Global Watch Bulletins by e-mail. Fill in the following information (please print): First, Last Name: ________________________________________ Address: _______________________________________________ _______________________________________________________ _______________________________________________________ Phone: (____) _______________ FAX: (____) ________________ e-mail: ___________________ How did you learn about the Truth in Media (circle one):
Print and fax this form to (602) 532-7789, then mail it with your check to: Truth in Media P.O. Box 97100 Phoenix, Arizona, 85060-7100 USA |