SUBSCRIBE TO PRIMETIME

You can subscribe to PrimeTime by completing, printing and mailing the form below with your payment or by providing your subscription and credit card information using our SECURE ONLINE Subscription Form. For your convenience, we accept MasterCard, Visa and American Express.

You may also use your credit card to subscribe by phone: call 505-880-0470.

Date:
Number of Years: at $12.95/yr (NM delivery) or $19.95/yr (Outside NM)
Name:
Address:
City: State: Zip:
Daytime Phone:
Email Address:
Payment Method: Cash  Check  Credit Card (offline)
To pay by credit card online, please click here
 

If paying with a credit card, please include the following before printing:

Payment Details
Credit Card
Name on Card
Card Number
Card CVV2 Code
(or CID number)
  3 digits in signature strip on back of card
to the right of the (partial) card number.
(4 digits on front of American Express)
Expiration Date Month (MM) Year (YY)
Cardholder Billing Information
Name
Address
City
State Zip
Daytime Phone
 

AFTER PRINTING, MAIL YOUR COMPLETED FORM WITH PAYMENT TO:

Prime Time
2403 San Mateo NE, Suite P-15
Albuquerque, NM 87110

 

© 2006 Mirror Image, Inc., Albuquerque, NM