
                            ***** ORDER FORM *****            BBS: Laran Comm.
                               Magazines Online
                    A Service of Laran Communications, Inc.
                      26W482 Blair   Winfield, IL  60190
                       (800) 443-2141    (708) 690-2141
    **************************************************************************

    Publication ____________________________________________     Term ________ 


    Amount paid __________      Code _________         Type (R/D/G/T/S) ______
                                (Both Code & Type are shown on the price list)

    Is this a NEW _____   or a RENEWAL  _____  subscription?  

    If this is a renewal subscription, enter expiration date here ____________
    and please make sure that you enter your name and address on this order 
    form exactly as it appears on the address label of your magazine.

    Is this a GIFT subscription?  _____  If so, do you wish a card sent? _____
    If this is a gift subscription, your name and address must be filled in
    the bottom section as donor even if you don't wish to have a card sent.

    Does this subscription take advantage of a STUDENT discount which is
    indicated by the letter "S" in the "Type" column of our price list? ______

    If so, name of school _________________________________  Grad. date ______


    Educators/administrators title ________________   Specialty ______________
    **************************************************************************
                      (SUBSCRIBER NAME & ADDRESS INFORMATION)

    Name _____________________________________________________________________


    Address __________________________________________________________________


    Company __________________________________________________________________
                   (Required if being mailed to a business address)

    City _______________________________   State ________   Zip ______________
    **************************************************************************
    If you are subscribing to a magazine under a "Trade" discount and are NOT
    having it mailed to you at your company address, you must include your
    company name and address below.  (Attach business card if required.)  If
    you are the DONOR of a gift, you must enter your name & address here also.

    Name _____________________________________________________________________


    Address __________________________________________________________________


    Company __________________________________________________________________


    City _______________________________   State ________   Zip ______________
    **************************************************************************
      PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO LARAN COMMUNICATIONS, INC.