Instructions:  Print this form, then mail it or FAX it, along with your check or credit card details, to:

Golden Knights Drum & Bugle Corps

c/o Gary Dickelman

6909 Pacific Lane

Annandale, VA 22003-5936

FAX: (703) 658-2253   e-mail: gdickelman@epsscentral.com

Do NOT send credit card details via e-mail as it is not secure means of protecting your information!

Make checks payable to Drum Corps World.

Last Name:____________________________     First Name:  ____________________

Address:_______________________________________________________________

City:  ________________________   State: ______   Zip:  _____________

Telephone:  _____________________

□ I am enclosing a check          □ I am providing credit card details below

Card type:   □Mastercard    □Visa   

Card number:  __________________________________ 

Amount:  $_________   Signature of cardholder: ___________________________

Cardholder details (if different from CONTACT INFORMATION):     

Last Name:____________________________     First Name:  ____________________

Address:_______________________________________________________________

City:  ________________________   State: ______   Zip:  _____________

Telephone:  _____________________

Subscription prices (20 issues) --

• US$55.00 via second class mail to a United States address
• US$66.00 via second class mail to a Canadian address
• US$64.00 via second class mail to a foreign address
• US$77.00 via first class mail to a United States or Canadian address (mailed in a Tyvek envelope)
• US$98.00 via air mail to a European address (mailed in a Tyvek envelope)
• US$137.00 via air mail to all other countries (mailed in a Tyvek envelope)