Subscription Information and Form

SUBSCRIPTION INFORMATION AND FORM

Subscription rates:

: $12 for individuals
: $14 for institutions
: $16 for international subscribers

This form may be printed out and mailed to the address at the bottom.

Name ________________________________________________

Address _____________________________________________

_____________________________________________________

_____________________________________________________
City/State/Country/Zip

Daytime Phone _______________________________________
(In case we have questions about your order.)

Do you wish to be placed on our mailing list? ________

: An invoice will be sent to you and is payable upon receipt. Please address all requests and payment to:
: Paroles Gelées
: University of California, Los Angeles
: Department of French
: 212 Royce Hall
: Box 951550
: Los Angeles, California 90095-1550