Print this form, check the box next to the magazine you would like to receive and indicate how many copies you would like (5 copies maximum) and mail along with payment. Magazines are $5.00 per copy. Magazines will be sent upon receipt of check.

Send completed form and a check for the total to:

Malcolm Media, P.O. Box 626, Clovis, CA 93613.

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American Vineyard

Issue Date ______Vol._____ No. of copies.___($5.00 ea., max. 5 copies)    Cost_______

California Dairy

Issue Date ______Vol._____ No. of copies.___($5.00 ea., max. 5 copies)    Cost_______

Pacific Nut Producer

Issue Date ______Vol._____ No. of copies.___($5.00 ea., max. 5 copies)    Cost_______

Vegetables West

Issue Date ______Vol._____ No. of copies.___($5.00 ea., max. 5 copies)    Cost_______

Total No. of copies._______                                           Total Cost_______

Please Send My Magazines to:

Name_____________________________________________________________________

Address___________________________________________________________________

City/ST/Zip________________________________________________________________