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Agent Subscription Order

The following order form is for subscription agents only. If you are a librarian and want to order a subscription directly from Mosaic, please visit our libraries page. For individual subscriptions, please visit our subscription page.

Order online now using the form below (payment by Visa/MasterCard).

Please contact our Business Manager with any questions or concerns.

Agent subscription order:

Library subscription terms coincide with the calendar year (our volume year) and begin with the March issue. Our issues are published in March, June, September and December.

Please start a subscription to Mosaic (4 issues per year) for:

1 Year ($118.00 CAD)
2 Years ($200.00 CAD)
 

Subscribers from Canada: price includes shipping and GST/HST.
Subscribers from USA: $8 per year will be added for shipping.
Subscribers from outside Canada/USA: $20 per year will be added for shipping via air mail.

Required fields are preceded by a dot (•)

If this subscription is a renewal and you have Mosaic's subscriber number, please provide this number below.

Mosaic Sub. No.:
 

If you have an order reference number that you would like us to quote in future correspondence, please provide this number below.

Agent Ref. No.:
 

Please enter the calendar year for which you are ordering the subscription:

•Calendar Year:

(If this is a two-year subscription, enter the first calendar year of the subscription term.)

 

AGENT CONTACT INFORMATION: For all correspondence related to this order.
(See our privacy policy below.)

 
•Agent Name:
•Contact Person:
•Phone:
(& area code)
•Email:
 
•Address Line 1:
Address Line 2:
Address Line 3:
•City/Town:
•Province/State: (Canada/U.S. only)
•Postal/Zip:
•Country:
 

SUBSCRIPTION MAILING ADDRESS: The subscription will be sent to this address.

•Address Line 1:
Address Line 2:
Address Line 3:
•City/Town:
•Province/State: (Canada/U.S. only)
•Postal/Zip:
•Country:
 

If the subscription is NOT being mailed directly to the subscribing institution (the "end user"), please provide the name and address of the subscribing institution below (this information is for our records only).

End User
Information:
 
Questions /
Special Instructions:
 

PRIVACY POLICY: All information you supply on this form will be kept in strict confidence.