I will pay the twenty dollar ($20) NRS-Online subscription by:
[ ] MasterCard [ ] Visa [ ] AMEX
[ ] Discover/NOVUS [ ] Diner's Club
[ ] Check
If paying by credit/debit card please complete the following:
Name on Card:
Billing Address:
Card Number:
Card Expiration:
Card Holder's Signature:
If paying by check or money order, please make payments payable to
Sevik, Inc.
Please send the completed subscription form and any payment to:
Sevik, Inc.
Attn: NRS-Online
PO Box 19762
Seattle, WA 98109
USA