| ATRS 2000 SUBSCRIPTION FORM |
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Subscriber’s Name_____________________________________________ Full Address__________________________________________________ (If P.O. Box – Please include Street Address) Contact Person:______________________________________________________ Telephone #:__________________________________________________ Fax #:_______________________________________________________ Email:_______________________________________________________ Subscription @ $1,500.00 per subscription* $____________ ____________ Additional copies @ $80.00 per copy $____________ TOTAL PAYMENT ENCLOSED: $____________ Please make all remittances payable to: ASSOCIATION OF SHIP BROKERS & AGENTS (U.S.A.), INC. 75 Main Street, Suite 104, Millburn, NJ 07401 *Two year subscription |