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Quebec Farmers’ Advocate: Annual Subscription Form

(please print clearly)

       Name: ___________________________________________________

    Company: ___________________________________________________

    Address: ___________________________________________________

             ___________________________________________________

       City: ___________________________________________________

   Province: ___________________________________________________

Postal Code: ___________________________________________________

      Phone: ___________________________________________________

     E-mail: ___________________________________________________

Price:       $56.98 (taxes included)

Please enclose cheque payable to Quebec Farmers’ Association.	
    GST No. 107 867 814 RT 001 //  QST No. 100 611 322 9 TQ 001

An annual subscription is good for 11 consecutive issues of the Quebec
Farmers’ Advocate and expires one year after it is paid. 

Note: Rates apply to Canadian subscribers. Out of country rates are available upon request.

Return this form, with payment, to:

Quebec Farmers’ Association
555 Boul. Roland-Therrien, Office 255
Longueuil, QC
J4H 4E7


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Signature                                    Date