Subscription Form for Pacific Power Magazine

Subscription Form for Pacific Power Magazine

Please print and return this form to:
Mailing Address: Pacific Power Association, Private Mail Bag, Suva, Fiji Islands
Or Fax: (679) 302 038

CONTACT

Prof / Dr / Mr / Mrs / Miss Surname: Given Name:

Title:

ORGANISATION

Organisation Name:

Mailing Address: City:

State: Postcode: Country:

Tel: Fax: Email:

PAYMENT

Amt due (US$) Funds Enclosed

Subscription Fee $40

Please note: Payment should be by International Bank Draft in US Dollars which states a US Drawee Bank or via Telegraphic Transfer to Pacific Power Association's Bank Account as follows:

Account: 05138058
Bank: ANZ Bank (BSD 0890), Victoria Parade, Suva, Fiji
Tel: (679) 301-755, Fax: (679) 303-649

Organisation Name:
Mailing Address:		City:
State:	Postcode:	Country:
Tel:	Fax:	Email:

		Amt due (US$)	Funds Enclosed
	Subscription Fee	$40
Please note: Payment should be by International Bank Draft in US Dollars which states a US Drawee Bank or via Telegraphic Transfer to Pacific Power Association's Bank Account as follows: Account: 05138058 Bank: ANZ Bank (BSD 0890), Victoria Parade, Suva, Fiji Tel: (679) 301-755, Fax: (679) 303-649