Annual Subscription for the printed Hands On Cultural Calendar Click here for the Hands Online Cultural Calendar TO SUBSCRIBE: Print & Complete this form For check and credit card subscriptions mail to Hands On c/o Prevor 159-00 Riverside Drive West, Apt. 7F New York, NY 10032 (When ordering by credit card, you may send by Fax to 212-740-4157) Name ___________________________________________________________________ Address _________________________________________________________________ City/State/Zip _____________________________________________________________ Phone________________________________________V or TTY / E Mail:___________________________________________@_____________________ I am    _______  Deaf     ______  Hard of Hearing    _______ Hearing
Annual cost of Cultural Calendar Tax-deductible contribution to Hands On $1.50 Credit Card Service Charge            (credit card orders only) GRAND TOTAL	$ 10.00 $________ $________ $________
___ Enclosed is my Check or Money Order. (Please make payable to Hands On) ___ I prefer to charge my subscription to: ___American Express ____Discover ____MasterCard ____Visa Card Number:_____________________________________    Exp. Date:_____________ Signature (required)______________________________________________

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