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Heartbeats Subscription Order Form
Please send me a subscription to Heartbeats.
 
Name ___________________________________________
 
Address _________________________________________
 
City, State (or Province)_____________________________
 
Zip (or Postal Code)_____________ Country____________
 
Date ______________ Phone or email_________________
 
Subscription Rates:
 
USA & Canada – $12.00/year
Elsewhere–Inquire
 
Please remit in US funds via check or money order. Do not send cash.
 
Send this form with payment to:
 
Heart t’ Heart
PO BOX 247
Pleasant Grove, UT 84062-247
U.S.A.