INSTRUCTIONS. Check the items that you would like to order, then complete the information fields at the bottom of the form. Use this form to order paid subscriptions to Site Selection magazine.

Choose Desired Subscription Type

Term	USA	Outside USA
One Year (6 issues)	US$ 90	US$130
Two Years (12 issues)	US$155	US$241
Three Years (18 issues)	US$215	US$345

Sample Issue

NOTE: Boldfaced/Starred Fields must be completed before submitting the form!

**Name
Title
**Organization
**Address
**City
**State/Prov
Country
**Zip Code
Telephone
Fax
Email
Web Page

Method of payment

TOTAL

Bill my organization (enter billing information below)

Charge my credit card

If you would rather not send your credit card information over the Internet, please call or fax Conway Data, Inc. with the required information at
Phone: 770-446-6996
Fax: 770-263-8825

MasterCard    American Express    VISA

Card Number
Expiration Date
Name on Card