One year Panama Cyberspace News subscription order form.

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One Year Panama Cyberspace News Subscription On the 1st and 15th of every month, for a minimal annual fee of twenty-five dollars ($25), we provide subscribers (in the comfort of their home or office) with an 18-page report of news briefs, activities, events, and happenings in the Republic of Panama. We also publish a monthly special edition.                        Your Payment will appear as Panama CyberNews on your Credit Card.
To pay by check fill out the form below: Fill out the form below and mail check payable to Carmela L. Gobern. Do not send cash in the mail. Please send personal check or bank drafts for the amount of your order. Money orders of any kind are not negotiable in Panama.
Your Contact Information: First Name, Last Name Mailing Address City State/Prov     (US & PANAMA) State/Province Panama Colon Chiriqui Bocas del Tore Herrera Darien Veraguas Cocle Los Santos Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other Zip/Postal/Post Code Country United StatesUnited States Panama Other Email Address Additional comments: Payment information:       (Orders will be processed when payment is received) Are you a current subscriber? Choose Yes No When will you be submitting your payment?: Choose Payment has been sent Payment will be mailed today. Payment will be mailed tomorrow. Payment will be sent next week. Payment will be sent this month. Overseas payments should be mailed payable to: Carmela L. Gobern PTY 3109 P. O. Box 025724 Miami, FL 33102 Local payments (in Panama) may be mailed to: Carmela L. Gobern Box 0834 -01388 Panama, Republic of Panama or delivered to House 2361, Balboa, Ancon. Telephone (507) 314-0398      Fax (507) 314-0012  Email: carmela@panamacybernews.com