Home arrow Mail/Fax Subscription
Mail/Fax Subscription
(* = Required)


Yes! I would like to subscribe for:*:
12 issues, $9.95 24 issues, $16.95 36 issues, $19.95 No subscription for myself, just the gift subscription below

First:

M.I.:

Last:

Company:

Address*:

City*:

State*:

Zip*:

EMail*:

Phone*:

  username@domain ###-###-####


Also, I would like to order a gift subscription for*:
12 issues, $9.95 24 issues, $16.95 36 issues, $19.95 No gift subscription, just the subscription for myself above

First:

M.I.:

Last:

Company:

Address:

City:

State:

Zip:

EMail:

Phone:

  username@domain   ###-###-####

Payment*:
Visa Mastercard American Express Discover Payment Enclosed Bill Me

Card No.:

Expiration Date:

 

      mo/year

How did you hear about us?

Other comments:


Fill out, print, and fax this form to (818) 286-0077 or mail to
Instinct Magazine, PO BOX 16269, North Hollywood, CA 91615

Orders shipped outside USA must be prepaid and add $24 per 12 issues for shipping.
Instinct is mailed discreetly. Please allow 6 to 8 weeks for delivery of first issue.