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 To Subscribe  Please complete and print. Then mail or fax this form.

OR, CLICK HERE to sign up ONLINE with our SECURE SERVER.




 


    Please check:
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       or
E-mail
Fax
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  8-month trial
US$279
US$374
US$343
US$439
  1-year rate
US$377
US$510
US$469
US$596
  2-year rate
US$649
US$782+$133*
US$741+$92*
US868+$219*
  4-year rate
US$1167
US$1300+$133*
US1259+$92*
US$1386+$219*
  Lifetime rate
US$3500
US$3633+$133 per year
US$3592+$92 per year
US$3719+$219 per year
*additional charge per year
Other currencies accepted when you pay cash or by cheque. Please apply current exchange rate. We prefer cheques, but we accept credit card charges with a +US$5 clearing fee.
  Cash or Cheque or International (Postal) Money Order  
  Please charge my credit card    Visa      MasterCard**     EuroCard**       credit card number     Valid thru: mo.      year         
   **Charged in Swiss Francs current exchange rate.

 Signature:_______________________  Date:__________________    

Actual Subscriber's Name & Address:

   Ms    Mrs    Mr    Dr
First Name: 
  Middle: Last Name: 
Address: 
    City:
  State: 
     Zip / Postal Code: -
Country:
Email: 
Telephone: 
Fax: 

Name & Address of Credit Card Holder, if different from subscription delivery address:
First Name: 
  Middle: Last Name: 
Address: 
  City:
  State: 
   Zip / Postal Code: -    
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Comments:  

 

 

  

PRINT this Form and RETURN to:
HSL, PO Box 622, CH-1001 Lausanne, Switzerland.
Or fax to +506 2272 6261(credit card orders & inquiries)
From N. America dial 011 first, 00 from elsewhere

Contact: hslmentor@racsa.co.cr
Tel: +506 2271 2293