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Name____________________________________________ Company_________________________________________ Address__________________________________________ City____________________________ Province _________ Postal Code ____________ Country _________________ I would like to order the following subscription: ___ 1 year ___ 2 years I would like to order the following individual issues (please indicate the issue dates): ___ I have enclosed a cheque (in Canadian dollars) for the appropriate amount ___ I would like to pay by credit card MasterCard ___ VISA ___ American Express___ (check one) card number ________________________________________ expiry date _________ name on card __________________________ signature ________________________ Please mail this subscription form to: IRPP -- Policy Options 1470 Peel Street, suite 200 Montreal, Quebec H3A 1T1 If you are paying by credit card, you may fax this form to IRPP at 514-985-2559. |
