Fill and print this signature form and send it by mail as well as the cheque to:

Ler História, Edifício ISCTE-IUL.
Av. das Forças Armadas. 1649-026 LISBOA. Portugal

Signature Form

I want to sign the magazine "Ler História" for 1 year (2 numbers) starting at number *

Name *
Email *
Adress *
Postal C *
Phone
Job
Tax P n. *

I'm sending a cheque with the number
*
of the bank
*
value (Eur.)
*
Date
*
Signature

________________________

note: this form will only be validated after payment reception

(if u wish to print this form please press Ctrl+p)