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Subscription Form

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Parent Issue
Day
10
Month
July
Year
1969
OCR Text

1 f, Newspaper- I Subscribe j Enter my SUbSCription lor (Check box): Notionol Foreign Subtcriptiem Suburiptions 3MONTHS: ( 13 ISSUKS) [2 $2.50 D $3.00 6 MONTHS: (2C ISSUF ?1 G $5.00 D $6.00 ONE YEAR: (02 ISSUKS) D $7.50 D $9.00 (please print) NAME ADDRESS ' ' CITY STATEZIP # COUNTRY PLEASE MAU CHECK MiNISTRY OF INFORMATION. BUCK PANTHER PARTY, j J ORMONEY ORDER TO: Bi 2967. Custom House. San Francisco, CA 94126 ■■■■■■■■■■■■■■■■■UMri