Subscription Form

Please Complete The Form Below: Date Company / Individual Address City State/Province: Zip/Postal code Phone Fax E-mail Subscription Costs * (please pull down here) One Year Bulletin only $36 Single Copy Price $5.00 Member Utility subscription No Charge NW Electric Utility Directory only $75.00 (cost already includes $4.65 for postage and handling) Directory and Bulletin $100 Payment may be made by credit card in the area below or we will invoice you upon receipt of your subscription form. Card Type:  Visa Mastercard American Express Name on Card: Card Number:  Expiration Date: