CALIFORNIA AIRCHECK
SUBSCRIPTION INFORMATION

Print the Following form, then Fax it to (904) 548-9846 or mail to  85478 Sagaponack Drive - Fernandina Beach FL 32034 with your check or credit card information.
CALIFORNIA RESIDENTS MUST ADD SALES TAX TO ALL ORDERS
 
Please Circle Each that Applies
US Rates
Current Issue service .....................................................12 Months - $ 130.00
Personality Plus (AM Drive)...........................................12 Months - $ 130.00
Special Issue (Market Profile)..(2 Cassettes per month)..12 Months - $260.00
Classic Issue service.......................................................12 Months - $170.00
All A/C service...............................................................12 Months - $ 130.00
All Country service.........................................................12 Months - $ 130.00
All CHR service.............................................................12 Months - $ 130.00
Promo Vault ( 1 cassette per Quarter).............................12 Months - $ 55.00
Sweeper Vault ( 1 cassette per Quarter)..........................12 Months - $ 55.00

..........................................................................................................................................

PLEASE COMPLETE FOR ALL ORDERS!

Name___________________________________________________________

Company______________________________________________________

Address_______________________________________________________

City,State,Zip___________________________________________________

Phone #______________________e mail address:______________________
 
...........................................................................................................................

Optional Credit Card Information

Name as it Appears on Card_______________________________________
 
Card Number______________________________Exp Date_____________
 
E-mail address_______________________ Amount to be Charged_________
 
Signature___________________________Sec. code from rear of card_______
 

Phone (904)548-9845...........Fax (904)548-9846

.........................................................................................................................................................................
FOR OVERSEAS SUBSCRIPTION ORDERS, print the following form, then Fax it to (904)548-9846 or mail to 85478 Sagaponack Drive - Fernandina Beach FL 32034 with your money order or credit card information. All rates are in US dollars. If paying by check, please use an International Money Order payable in US dollars.
 
Please Circle Each that Applies
Overseas Rates (Europe, Australia, New Zealand, Asia, etc.)
Current Issue service .....................................................12 Months - $ 140.00
Personality Plus (breakfast)...........................................12 Months - $ 140.00
Special Issue (Market Profile)..(2 Cassettes per month)..12 Months - $280.00
Classic Issue service.......................................................12 Months - $180.00
All A/C service...............................................................12 Months - $ 140.00
All Country service.........................................................12 Months - $ 140.00
All CHR service.............................................................12 Months - $ 140.00
5romo Vault ( 1 cassette per Quarter).............................12 Months - $ 64.00
Sweeper Vault ( 1 cassette per Quarter)..........................12 Months - $ 64.00

..........................................................................................................................................

PLEASE COMPLETE FOR ALL ORDERS!
 

Name___________________________________________________________

Company______________________________________________________

Address_______________________________________________________

City, Country___________________________________________________

          E-mail address_____________________________________________
...........................................................................................................................

Optional Credit Card Information

Name as it Appears on Card_______________________________________
 
Card Number______________________________Exp Date_____________
 
Phone (_____)_______________ Amount to be Charged_________________
 
Signature_________________________
Sec. code from rear of card ( 3 digit number)___________________
 

Phone (904) 548-9845...........Fax (904) 548-9846

Home Page   |  Fax Order Form 
If you have any questions, please contact us at georgej@californiaaircheck.com