** To print this form, open the File Menu at the top of this window and then click Print **


Name ____________________________________________________________________________
Address _________________________________________________________________________
City _____________________________ State/Prov ________________________
ZIP _____________________ Country _________________________
Telephone ____________________________
Email ____________________________________________
One year -- $26.00 (Canadian subscribers add $7 per year. Overseas subscribers add $20 per year)
Two years -- $50.00
Total amount enclosed $ __________________

Card # ____________________________________________
Expiration _____________ 3-digit security code_____________
Signature ____________________________________________

Send To: Legacy Quarterly Magazine, P.O. Box 129, Rushville, OH 43150-0129

PLEASE NOTE!! Because of increased bank charges, we can no longer accept foreign checks or money orders–including checks in U.S. funds.
We are sorry but this saves Canadian subscribers the cost of purchasing money orders or paying for bank checks in U.S. funds.