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Name(s):	*
Username:	*
E-mail:	*
Password:	*
Verify Password:	*
	[NB]: CONTINUE FILLING THIS FORM ONLY IF YOU ARE A SUBSCRIBER OTHERWISE LEAVE IT HERE.
Birthday:
Address:	*
Contacts:	*
ID/Passport:	*
	PERSONAL DETAILS OF SUBSCRIBER WHO PAYS (if different from above), [NB]: you may leave this part if you pay for yourself & continue to the last
Name(s):	*
E-mail:	*
Contacts:	*
ID/Passport:	*
Address:	*
	PAYMENT METHOD SELECTION (please tick one option)

1. I enclosed a cheque made out to Finite Magazine for R179.55 ONLY
2. I have deposited R179.55 directly into Finite Magazine account (ref:Subscriber Names) at
Netbank Lesotho [A/C No.021 000064006,Maseru Branch code 390161]
Fields marked with an asterisk (*) are required.