Name: _____________________________________________________
Profession: __________________________________________________
Company: (if applicable) ________________________________________
Address: ____________________________________________________
Tel: ________________________________________________________
Fax: ________________________________________________________
E-mail: ______________________________________________________
Web: _______________________________________________________

Signature:________________________________Date:___/___/_______

No. of issues x 6 (£18) x 12 (£36) x 24 (£72) (please tick)

Please make all cheques/postal orders payable to Afro Universe Ltd.

For payments sent from outside the UK please contact our office by telephone before sending payment.

Overseas orders please add 30% to above rates.

Please return the completed form to and payment to:

Afro Universe Media
25B Admiral Street
London
SE8 4HY
United Kingdom