HSL International Harry Schultz Letter

 

SECURE ORDER FORM
HSL NEWSLETTER SUBSCRIPTION
via Mail, Fax or Submit

1) Please fill out the following form.
2) When finished, to mail or fax, print this page out and Fax it to:
+506 2272-6261
OR
    mail it to HSL, Apartado 775-2300, Curridabat, Costa Rica
   (Please make check payable to: MAP Customer Service S.A.)


Subscriptions are neither assignable, nor refundable (this includes lifetime subscriptions).

Is this a NEW SUBSCRIPTION or RENEWAL ?



Air Mail
or
Email

Via Fax

  Air Mail
   and
  Email
 
  Air Mail
  and
  Fax
  8-month trial
US$279 or €233
US$374 or €313
US$343 or €287
US$439 or €367
  1-year rate
US$377 or €315
US$510 or 426
US$469 or €392
US$596 or €498
Please choose your subscription period: 

Credit Card Type:     Credit Card #:     

Valid thru:  Mo.     Year:
       
*Attention Credit Card Holders: Please provide the last three digits (preceded by a space) of the number appearing in the signature area on the back side of your card.
CVV2#
 

(Scroll down to Page 2)

 

 




 

Page 2

Actual Subscriber's Name & Address:

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

Name & Address of Credit Card Holder, if different from above:

First Name: 
 Middle: Last Name:  
Address
 City:
  State: 
  Zip / Postal Code:  -    
Country:

      

                    

If you have any questions, please contact:
hslmentor@racsa.co.cr
Tel: +506 2271 2293  Fax: +506 2272 6261
From N. America dial 011 first, 00 from elsewhere

MAP Customer Service S.A. / P.O. Box 775-2300 / Curridabat, Costa Rica