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Venus Subscription
Order a one year subscription Venus for just $5 and
receive a $5 Gift Coupon.
Credit card customers may order
a catalog by filling out the form below, or click HERE to see a
printable version and mail it with your check or money order to:
Venus Subscription Request 11711 Marco Beach Drive,
Jacksonville, FL 32224-7615

Billing Information
* indicates a required field
 · For US/Canadian billing addresses only.
(click here for non-US/non-Canadian addresses)
*First Name: 
*Last Name: 
*Address: 
Apt/Suite: 
*City: 
*State: 
*Zip Code: 
*Country: 
**Day Phone: 
**Eve. Phone: 
** You can leave either the daytime or
evening phone blank, but one is required.
*Email Address: 
*Confirm Email: 
**Your $5.00 Coupon Number will be sent
to the above e-mail address.

Shipping and Billing Address are the same.
Shipping Information
 · For US/Canadian shipping addresses only.
(click here for non-US/non-Canadian addresses)
Payment Information
*Credit Card Type: 
*Credit Card Number:   
*Security Code:   
*Expiration Date:     
*Name on Card:   
                                 
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11711 Marco Beach Drive Jacksonville, FL 32224