Indiana Review Subscription Form
Indiana Review Ballantine Hall 1020 E. Kirkwood Ave. Bloomington,
IN 47405-7103
Name: _____________________________________________________________
Organization: ________________________________________________________
Address :___________________________________________________________
City: ________________________________ State: _________ Zip: ____________
Phone: ______________________________ Email: _________________________
| Regular Subscription: | __ $17 for one year (2 issues) |
| __ $28 for two years (4 issues) | |
| Institutional Rates: | __ $20 for one year (2 issues) |
| __ $36 for two years (4 issues) | |
| Special Subscriptions: | __ $30 Supporting |
| (acknowledged in two issues) | __ $50 Donor |
| __ $100 Patron | |
| __ $250 Benefactor | |
| __ Other ($___) | |
| Single Issues: | __ $9 (Volume: _____ Number: _____ ) |
Make checks payable to Indiana Review. Your subscription will begin with our next issue unless otherwise indicated. Special subscriptions are tax deductable.
Overseas addresses, please add $12/year ($6/issue) for postage, Canadian addresses add $7/year ($3.50/issue).