PLEASE PRINT and COMPLETE

FORUM   ENGLISH TEACHING FORUM
 SUBSCRIPTION NOW FOR 2002
January, April, July and October

USIA'S English Teaching FORUM magazines is the world's most widely distributed ESL/EFL publication. Published four times a year (January, April, July and October), FORUM delivers selected articles written by ELT professionals from across the globe, ideas and techniques for the classroom and topics on life, culture and literature of USA and other countries.

Subscription cost is Rp. 75.000,00 (seventy five thousand rupiah) for four issues (January, April, July, October 2001) including mailing. To subscribe, please transfer payment to Lippo Bank Account # 988-10-03045-1, in the name of Paulus Kuswandono. (Please do not send cash.) Then complete the subscription form below, and mail or fax it, together with a copy of your transfer slip, to:

Paulus Kuswandono
PBI/JPBS/FKIP
Universitas Sanata Dharma, Mrican
Tromol Pos 29 - Yogyakarta 55002
Tel. (0274) 515-352 ext.220
Fax.(0274) 562-383
E-mail: kuswandono@lycos.com 
% ---------------------------------------------------------------------------------------------------

SUBSCRIPTION FORM

Please check one: £ RENEWAL £ NEW
H
NAME :_____________________________________________________________
TITLE :_____________________________________________________________
INSTITUTION :_____________________________________________________________
ADDRESS :_______________________________________________
 _______________________________________________
TELEPHONE :_______________________________________________
FAX :_______________________________________________
HOME ADDRESS : ____________________________________________________________
  ____________________________________________________________
TELEPHONE :_______________________________________________
FAX :_______________________________________________
H
PREFERENCE FOR MAILING £ OFFICE £ HOME
E-MAIL ADDRESS : ____________________________________________________________
H
Yogyakarta,                                        Signature