View Student Subscription Special information page
Print out and complete this order form.
Send it to us by one of the following methods:
Mail your payment in US funds with proof of student status and order form to:
PO Box 2672
Eugene, OR 97402-0223 USA
Fax your order with Visa or MasterCard number and proof of student status and order form to:
1 year of Midwifery Today magazine (four issues)—choose one:
How will you make your payment?
Please complete the following items if you are paying by Visa or MasterCard. All prices are in US dollars.
|Expiration date [ month / year ]|
|Name of cardholder [ please print ]|
|Billing address if different from above [ please print ]|
|Billing phone and/or e-mail address [ please print ]|