

                  Subscription form for -Pacific Edge Magazine-


          Name:______________________________________________________

   Street/P.O.:______________________________________________________

          City:______________________________________________________

         State:______________________________________________________

      Zip Code:__________________



        Subscriptions are $16.00 for four quarterly issues.


        Please make your check or money order payable to "Pacific Edge
        Publishing", and then send it with this form to:


                Pacific Edge Magazine
                Campus Plaza Center
                4521 Campus Drive, Suite 315
                Irvine, CA 92715-2699


        We do not take credit card orders at this time.  It is on the
        agenda for the near future, however.  Planned cards include:
        VISA, MasterCard, and American Express.

        Do you have a preferred e-mail address?  If so, please list it
        here:

        ______________________________________________________________

        We are always interested in hearing about where you found us.

