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NOTE: Information on this form is valid as of January 2003.  If this is form is more than several months old, please return to the GWRN home page, click on the most recent online edition, and use the form found in the most recent online edition.  Please always use the form from the most recent online edition.

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If you are an unsigned or independent band/artist, your review will appear in one of our print publications. To enable us to more easily complete your review, we request:

 
You should mail these items to:
Geoff Wilbur's Renegade Newsletter
P.M.B. 1066
1478 Atwood Ave.
Johnston, RI  02919

Geoff Wilburís Renegade Newsletter prints two different Industry Editions. The Industry Edition covers all styles of music except country. The Country Music Industry Edition covers only country music.

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_____  I would like to receive a copy of the text of my review via e-mail to the e-mail address provided on this form.(NOTE: Typically the e-mail will be sent out as the last step in the publishing process, so if you are getting your review by mail, it will almost certainly arrive before an e-mail would.)

_____  I would like to receive a photocopy of the page of Geoff Wilburís Renegade Newsletter that contains my review. I will include a stamped, self-addressed envelope. Postage within the U.S. is 37 cents. Postage to Canada/Mexico is 60 cents. Postage overseas is 80 cents.

_____  I would like to receive a copy of the entire issue of Geoff Wilburís Renegade Newsletter that contains my review. I will include $2.50 if I am within the U.S. ($.2.75 if Iím in Canada/Mexico, $3.00 elsewhere); or I will include $2.00 and a stamped, self-addressed envelope. Postage within the U.S. is 37 cents. Postage to Canada/Mexico is 60 cents. Postage overseas is 80 cents. I will make my check/money order payable to Geoff Wilbur.

 
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If you want to Subscribe to Geoff Wilbur's Renegade Newsletter...

Fill out this form and mail it, with a check or money order payable to Geoff Wilbur, to:

Geoff Wilbur's Renegade Newsletter
P.M.B. 1066
1478 Atwood Ave.
Johnston, RI 02919

Remember to enclose a check or money order for the full amount due, PAYABLE TO: GEOFF WILBUR.

_____  I'd like to subscribe to BOTH INDUSTRY EDITIONS   ____ years  = $________
       in the U.S.: $18 (1 year); $32 (2 yrs.); $45 (3 yrs.)
       in Canada/Mexico: $20 (1 yr.); $36 (2 yrs.); $51 (3 yrs.)
       outside North America: $22 (1 yr.); $40 (2 yrs.); $57 (3 yrs.)

If you don't wish to subscribe to all three editions, you may order one or two
editions separately below.

   _____ The Original "Industry Edition"                 ____ years  = $________
         in the U.S.: $10 (1 year); $18 (2 yrs.); $25 (3 yrs.)
         in Canada/Mexico: $11 (1 yr.); $20 (2 yrs.); $28 (3 yrs.)
         outside North America: $12 (1 yr.); $22 (2 yrs.); $31 (3 yrs.)

   _____ Country Music "Industry Edition"                ____ years  = $________
         in the U.S.: $10 (1 year); $18 (2 yrs.); $25 (3 yrs.)
         in Canada/Mexico: $11 (1 yr.); $20 (2 yrs.); $28 (3 yrs.)
         outside North America: $12 (1 yr.); $22 (2 yrs.); $31 (3 yrs.)

                                                Total Amount Enclosed $_________

The Geoff Wilbur's Renegade Newsletter Printing Schedule: The original "Industry Edition" is printed in early February, May, August, and November. The "Country Music Industry Edition" is mailed in early spring, summer, fall and winter.

Thanks for your interest in Geoff Wilburís Renegade Newsletter.


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