FOR ANIMAL PEOPLE

Use this form if you wish to place an order via mail or fax.

PROCEDURE: 1. PRINT THIS FORM! 2. FILL OUT THIS FORM. 3. ADD UP ALL FIGURES AND MAKE SURE YOU CARRY OVER SUBTOTALS FROM ONE CATEGORY TO THE NEXT BELOW. (This FAX form will not automatically compute any entered data.) NEXT, FAX THIS FORM TO (360) 579-2575 or mail WITH YOUR CHECK to: ANIMAL PEOPLE

POB 960, CLINTON, WA 98236-0960 USA

1. PERSONAL INFORMATIONART I--PERSONAL DETAI

FIRST NAME		LAST NAME
FAX NUMBER		E-MAIL
Day Telephone		Fax number
Street	Apt. No.	City
State/Prov.		Zip Code
Country

P2. PLACE YOUR ORDERCRE(SORRY. ACCEPTING ONLY VISA AND MASTERCARD AT THIS TIME.

THE CHOICES ARE	WHICH?	`Qty.`	`SUBTOTAL$`
ONE YEAR SUBSCRIPTION $24.00
TWO-YEAR SUBSCRIPTION $38.00
THREE YEAR SUBSCRIPTION $50.00

ITEM 2

WATCHDOG REPORT ($20 per copy)	QTY	SUBTOTAL $

ITEM 3

SUPPORT DONATIONS

All donations fully tax-exempt as ANIMAL PEOPLE is an IRS 501 (c) 3 NONPROFIT corp.
(If you have tax-related questions, please send us a query via e-mail to animlpepl@whidbey.com)

Check one:

$25

$50

$75

$100

$150

$200

$250

$500

$750

$1000

OTHER Please specify $

SUBTOTAL$

PLEASE PROCEED TO ADD ALL SUBTOTALS, DONATIONS AND WATCHDOG REPORT ORDERS. ENTER THIS AMOUNT IN THE GRAND TOTAL FIELD BELOW.

GRAND TOTAL $

II. CREDIT CARD INFORMATION

1. NAME AS IT APPEARS ON CARD

2. CARD TYPE (check one) VISA Mastercard

3. CARD NUMBER

4. EXP DATE (MM/YY)

III. GIFT SUBSCRIPTION INFORMATION

I am giving a gift subscription to:

1. FIRST NAME		MIDDLE INIT
2. LAST NAME
3. ADDRESS (Street)
4. CITY
5. STATE/PROV
6. ZIP CODE

SUBSCRIPTION TERM: (CHECK ONE)

( ) ONE YEAR AT $24.00

( ) TWO YEARS AT $38.00

( ) THREE YEARS AT $50.00

THANK YOU FOR YOUR ORDER AND DONATION!

If you are paying by check, make checks out to "ANIMAL PEOPLE." Allow 10 days for clearance.