TLR Secure Order Form

Subscribe and receive a 15% net discount off the regular subscription price and two back issues of TLR for free (issue selection based on availability). Sign up for two years and receive not only a 25% discount but four free back issues of TLR. Also, if you have a friend who you think might enjoy TLR, you can sign them up for a subscription at a further discount. See Below.

YOUR CONTACT AND BILLING INFORMATION
Name
Address 1
Address 2
City	State Zip
Country
E-mail Address

SHIPPING INFORMATION FOR SECOND ORDER
Friend's Name
Address 1
Address 2
City	State Zip
Country
E-mail Address

SHIPPING METHOD (BOTH ORDERS)
U.S. - Ship first issue by Priority Mail ($2 surcharge)
International - Ship all issues by Air Mail

SUBSCRIPTION CHOICES

Please enter my 1-year subscription to The Literary Review at a 15% discount ($15) and my two free back issues.	Please enter my 2-year subscription to The Literary Review ($22) at a 25% discount and my four free back issues.
Please enter an extra 1-year subscription to The Literary Review for a friend at a 20% discount ($13).	Please enter an extra 2-year subscription to The Literary Review for a friend at a 30% discount ($18).

Please charge my:
Account Number
Expiration Date