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TSV SUBSCRIPTIONS 	                                          Totals:

[ ] 1 Issue   [ ] 3 Issues   [ ] 6 Issues                  NZ$__________

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[ ] TSV 72  [ ] TSV 73   [ ] TSV 74   [ ] TSV 75           NZ$__________

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Make payable to: New Zealand Doctor Who Fan Club

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New Zealand Doctor Who Fan Club
PO Box 7061
Wellesley Street
Auckland 1141
New Zealand