**************************************************************************
1 year = 6 issues

___Organization/School/Hospital/     *Make checks/money orders payable to
Agency/CIL subscription       $48     MOUTH
*We'll take two copies each Mouth    *Or send a purchase order
and sponsor a hardship subscriber     (we don't invoice for liss than $48)
too.                                 *Or charge your:
                                     __Visa  __Mastercard  __Amex
__Aiding and Abetting         $32    __Discover
*Here's my personal check to buy     Account #___________________________
one subscription for me and one      Expir. Date_________________________
for a hardship subscriber.           Signature___________________________
                                     Daytime phone number:
__Person with a Disability    $16    _____/______________________________
or Family Subscriber
                                     To: MOUTH                   __New
__Hardship Subscription                  61 Brighton St.         __Renew
*All I have to live on is a puny         Rochester, NY 14607     __Gift
government check.  Here's $1 or $2
                                     NAME_______________________________
__Recovering Professional     $48    ADDRESS____________________________
*That's one Mouth for me and I'll    ___________________________________
sponsor 2 hardship subscribers.      City_____________ State____ Zip______

DO YOU WANT YOUR MOUTH IN ANOTHER FORMAT?

___on round-trip audiocassettes      ___in large print

(please allow 3-6 weeks for the arrival of your first issue)