NEWBIE NEWZ Subscription Form: Your Name:______________________________________________________________ INTERNET E-MAIL ADDRESS: _______________________________________________ (Please! Print clearly *and* _accurately_!) Company/School/Organization: ___________________________________________ (if applicable) Postal Mailing Address: _________________________________________________________ State City/Town: _________________________________ /Prov. ______________ ZIP or Country: _________________________________ Postal Code: _________ Please mark which period of list membership you are subscribing for: [ ] Annual: 12 months US $ 96.00 [ ] Quarterly: 3 months US $ 43.00 Please mark payment method used: Make Checks/M.O. payable to "NewbieNewz" [ ] Check: drawn on a US/Canadian bank, payable in US dollars [ ] Money Order: only US issuers--NO International Money Orders, try to buy an American Express M.O. please. [ ] Credit Card: VISA and MasterCard are accepted by First Virtual Holdings, Inc. Your FV buyer Account ID: ___________________________________ (First Virtual will verify orders.) [ ] Western Union "Will Call". Password used MUST be identical to your subscribing e-mail address! HOW DO YOU SEND IN THIS FORM? Check or Money Order, Don E. Z'Boray d.b.a. NewbieNewz Mail by POSTAL MAIL to: 5114 Balcones Woods Drive, Suite 304 - 372 (snail mail) Austin, Texas USA 78717 First Virtual payment, E-mail this form to: Subject: SUB FV Western Union "Will Call", E-mail this form to: Subject: SUB WU/WC Detailed information about subscription orders through First Virtual or by Western Union "Will Call" available. Email: . NewbieNewz, (c) Copyright 1994 - Don Z'boray, Austin, TX