Page 165

T76En_internet

Please send your subscription form with your payment to: TRIBAL ART MAGAZINE B.P. 18, B7181 Arquennes Belgique Tél. : +32(0)67 877 277 Fax : +32(0)67 210 177 Email : admin@tribalartmagazine.com 1 TRIBAL ART the magazine for collectors Since 1994 SPECIAL OFFER Subscribe now! and get 1 EXTRA copy FREE OFFRE SPÉCIALE Abonnez-VOUS ! et recevez 1 numéro GRATUIT www.tribalartmagazine.com com XIX-3 1 year (i.e. 4 issues) 65 Europe $85 (U.S.A. & Canada) 90 (elsewhere) 2 years (i.e. 8 issues) 120 Europe $160 (U.S.A. & Canada) 170 (elsewhere) Payment Methods A. BANK TRANSFER Banque : BELFIUS - Place Stéphanie, 8 -1050 Bruxelles - Belgique Account number : 777-5990887-49 IBAN : BE 97 777-5990887-49 Swift code : GKCCBEBB B. CREDIT CARD: Visa Mastercard N° Expiration Security code* *(the last 3 numbers on the back of your card) Name of Cardholder Signature C. CHÈQUES (France, Belgique & USA only) Made out to PRIMEDIA D. INTERNET ( Secure online payment - visa, mastercard ou amex) www.tribalartmagazine.com Subscriber Information Name ............................................................................................ Company ............................................................................................ Address ............................................................................................ City/State ............................................................................................ ZIP Code ............................................................................................ Country ............................................................................................ Email ............................................................................................ Tel ............................................................................................ English language edition Edition en langue Française Start with issue # ................. I would like to receive for free Special Issue # .................


T76En_internet
To see the actual publication please follow the link above