Magazines on Barter Order form
Date:
-- mm/dd/yy
Please provide the following information:
Name Company Street Address Address (cont.) City State Zip Code Phone FAX E-mail
Will all subscriptions go to the above address?
Yes No
If not, please enter alternate subscription name and address:
Name Subscriptions to go to this address Street Address Address (cont.) City State Zip Code
to go to this address
Your order:
Magazine Title SKU # Barter price X number of years
Order Total:
Florida Barter Account Name:
Florida Barter Account Number:
I agree to the Magazines on Barter terms and Guidelines:
When you click on the "Submit Form" button below, an email will be sent to Florida Barter with your order.