The Short Line -Subscription Information

Subscription Information

Company:	___________________________________
Name:	___________________________________
Address:	___________________________________
	___________________________________
City, State, Zip:	___________________________________
Phone:	___________________________________
(phone number is for subscription purposes only)

Published Bi-Monthly

Please mark your selection below:

United States & Mexico	$ 19.95/year Ā _____
Canada	$ 20.95/year Ā _____
Air Mail (Europe)	$ 25.95/year Ā _____
Air Mail (Far East, Pacific Areas)	$ 27.95year Ā _____

Please choose your method of payment:

_____ Check or money order payable to The Short Line and mail to the address above

_____ Call in your credit card information to 309-697-1400 ext. 226 or fax to 309-697-5388

_____ Mail your form to the above address with your credit card information

Card type: ___ Mastercard ___ Visa
Account #: __________________________________ Expiration date: ______
Card Holder Name: ___________________________
Card Holder Signature: ________________________
Date: ______________ Amount of Transaction: $_____________

When using a credit card, please be sure to supply your phone number.