Student Subscription Order Form
Save $4.95 - Special Student Subscription Offer!

YES, I want to subscribe to PALAESTRA: Forum of Sport, Physical Education & Recreation For Those With Disabilities.

Enter my Student Subscription for:
1 Year (4 issues) $17.00 Student Rate (regularly $21.95)

New Renewal

(please type or print clearly)

Your name

Address

City State Zip+4 Country

College/University Professor

Phone (with area code) E-Mail

Date , 20

$Payment Enclosed/ Ck #

Please make check payable to your professor, who will, in turn, submit a check to PALAESTRA for all student subscriptions in total.

Rates for U.S. mailing only. Canada $8.00 additional postage per year. All other foreign rates $15.00 per year airmail postage in addition to subscription price. Payment must be made in U.S. currency, and checks must be drawn on an American bank.
Submit form to your professor who will mail it to: Student Subscriptions, PALAESTRA, PO Box 269, Bushnell, IL 61422.

updated 2010-01-12