Journal Subscription Form
Please print out the form below and forward it, with the payment of
fees, to the Treasurer:
-
- Dr A. Howe
- Treasurer, Australian Mathematical Society
- Department of Mathematics
- Australian National University
- ACT 0200
- Australia.
New members should also fill out the
Membership Application Form and send that
with this subscription form. Note that due to the introduction of a
Goods and Services Tax in Australia, payment for journals must now be
made to the Australian Mathematical Publishing Association Inc (AMPAI)
rather than to the Society.
Details of the subscription fees.
We regret that at present we cannot accept electronic applications as
we are not yet able to handle secure transmission of credit card
details.
PERSONAL DETAILS (Please print or type)
Surname: ............................................................
Other names: ........................................................
Title: ........
Address for publications:
..................................................................
..................................................................
............................................Postcode: ............
Membership type (Please circle the appropriate response)
Ordinary Sustaining Reciprocal Reduced-rate
I am resident in
Australia Overseas
PUBLICATIONS (Please circle the appropriate responses)
I wish to receive:
Cost (A$)
Journal Series A ........
ANZIAM Journal ........
Bulletin ........
TOTAL --------
PAYMENT
The total sum for journal subscriptions for the current year is
$..............
EITHER:
1. I enclose a cheque for $....... made out to the AMPAI
OR:
2. Please debit my (circle one):
Mastercard Visacard Bankcard American Express
Card number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Card Expiry Date: .............................................
Card Holder Name: .............................................
Signature: ........................... Date: ..................
Amount: AU$.............
I require a receipt: YES NO
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