GREEN HEALTH WATCH MAGAZINE Supplements - Subscription Application Form BACK

Yes. I/We want to subscribe to GREEN HEALTH WATCH MAGAZINE Supplements.

Title: _______ Full name _____________________________________________________________

Address __________________________________________________________________________

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Country ____________________________________________

Post/zip code ____________________ Telephone no. _______________________________

Email address ____________________________ Year of birth ________

I/we want to subscribe to GREEN HEALTH WATCH MAGAZINE Supplements

ON PAPER (as four A4 12-page magazines) - please select the postal region for delivery

in the UK: £11.00
in mainland Europe: £15.00
elsewhere in the world: £17.50

ELECTRONICALLY, as four computer files... please select the electronic format you require

plain email texts: £7.50
four PDF portable document format files: £7.50

I/we want to support the work of GREEN HEALTH WATCH and make a gift of ... £ __________

Payment by UK£ cheque/postal order
I/we enclose a UK£ cheque/postal order to 'The Environment-Health Trust' for … £ ________

Please post the completed form (together with your UK£ cheque/postal order to:
The Environment-Health Trust, Muir of Logie, FORRES, Scotland IV36 2QG