FAMILY PRACTICE - Oxford Journals
FAMILY PRACTICE - Oxford Journals FAMILY PRACTICE - Oxford Journals
wonca direct members Family Practice, ISSN 0263-2136, Volume 25, 6 issues, 2008 I am a direct member of Wonca and eligible to subscribe to Family Practice at the reduced rate of US$154 (price for payment by credit card only *). My membership number is ___________________________________________ . Please enter my subscription. * A US$10 processing fee must be added for payment by cheque. PAYMENT DETAILS Payment by VISA or Mastercard is preferred and quicker to process. Please charge the sum of US$154 to my VISA or Mastercard. Card No: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ Start Date: __ __ / __ __ Expiry Date: __ __ / __ __ Signature: (If name of cardholder and card address differs from delivery address please send details). I enclose a cheque drawn on a US bank for US$164 (inclusive of a US$10 bank cheque processing fee) payable to ‘WONCA INTERNATIONAL INC’. DELIVERY DETAILS (Please write clearly) Name Address Postcode/Zip Country RETURN ADDRESS Ms Yvonne Chung- Administrative Manager World Organization of Family Doctors (Wonca) #01-02 College of Medicine Building, 16 College Rd, Singapore 169854 Tel: +(65) 6224 2886 Fax: +(65) 6324 2029 E-mail: admin@wonca.com.sg Website: www.GlobalFamilyDoctor.com 21PU711KF01
wonca direct members<br />
Family Practice, ISSN 0263-2136, Volume 25, 6 issues, 2008<br />
I am a direct member of Wonca and eligible to subscribe to Family Practice at the reduced rate of<br />
US$154 (price for payment by credit card only *).<br />
My membership number is ___________________________________________ . Please enter my subscription.<br />
* A US$10 processing fee must be added for payment by cheque.<br />
PAYMENT DETAILS<br />
Payment by VISA or Mastercard is preferred and quicker to process.<br />
Please charge the sum of US$154 to my VISA or Mastercard.<br />
Card No: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __<br />
Start Date: __ __ / __ __<br />
Expiry Date: __ __ / __ __<br />
Signature:<br />
(If name of cardholder and card address differs from delivery address please send details).<br />
I enclose a cheque drawn on a US bank for US$164 (inclusive of a US$10 bank cheque<br />
processing fee) payable to ‘WONCA INTERNATIONAL INC’.<br />
DELIVERY DETAILS (Please write clearly)<br />
Name<br />
Address<br />
Postcode/Zip<br />
Country<br />
RETURN ADDRESS<br />
Ms Yvonne Chung- Administrative Manager<br />
World Organization of Family Doctors (Wonca)<br />
#01-02 College of Medicine Building, 16 College Rd, Singapore 169854<br />
Tel: +(65) 6224 2886 Fax: +(65) 6324 2029<br />
E-mail: admin@wonca.com.sg<br />
Website: www.GlobalFamilyDoctor.com<br />
21PU711KF01
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