Renewal

New Subscription
Company name: ______________________________________________
Your name: __________________________________________________
Address: ____________________________________________________
City: _______________________________________________________
Province: _________________________ Postal Code: _______________
E-mail: _____________________________________________________
Telephone No: (_____) __________________
Date: ________________________________
Web Site Title: ______________________________________________
Web Site URL: http://_________________________________________
Web Site Description (maximum 15 words):
___________________________________________________________
___________________________________________________________
___________________________________________________________
One Year Subscription = CAD 24.00 + 1.68 GST (7%) = $25.68
G.S.T. #888433661
Credit Card Type: 
VISA

MasterCard
Name on Card:______________________________________________
Cardholder Address:__________________________________________
___________________________________________________________
Credit Card #:_______________________ Expiration Date:___________
Last 3 digits of number printed on back of the credit card:____________
Signature:______________________________ Amount: $____________
