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Please supply copy/copies of the June 2006

AIBDirectory of Global Broadcasting

at £59.75 per copy

Name

Job title

Company

Address

Postal/Zip code

Country

E-mail

Telephone

Fax

Please debit my American Express/Diner’s Club/Eurocard/Mastercard/Visa*, card number:

Expiry date

Security number

with the sum of £

Signature

Date

Return this form to

AIB, PO Box 141, Cranbrook, TN17 9AJ, United Kingdom,

fax to

+44 (0) 20 7993 8043

or order online at

www.aib.org.uk