Subscription Form for the Families Anonymous bi-monthly newsletter

The Twelve Step Rag Subscription Form
Print this page, Fill in Information,
and mail with your remittance to
the address on the bottom of the form.

THE TWELVE STEP RAG

Subscription Form

NAME ________________________________________ DATE ___________________

ADDRESS _____________________________________

CITY __________________________ STATE _______ ZIP _______________________

PHONE _____________________________________

Make check or money order payable in U.S. Dollars to FA, Inc.

( ) 1 year (6 issues) is $5.50	( ) New
( ) 2 years (12 issues) is $10.50	( ) Renewal
( ) 3 years (18 issues) is $15.00	( ) My Subscription
( ) Add $8.00 per year for postage if outside the United States	( ) Gift Subscription "Do you wish the recipient to know who sent it? ( ) Yes ( ) No

Print, fill out the form, and mail with payment to... Families Anonymous P.O. Box 3475 Culver City, CA 90231-3475