Please provide complete this form, and return it and your signed AMICO Library Agreement to AMICO. AMICO SubscriptionsNew York • June 24th, 2003
Jurisdiction FiledJune 24th, 2003This sheet and a signed license must be received by AMICO prior to the start of a subscription. Where time is critical, you may fax these. However, you must then send the originals by mail.A faxed license is required to begin a subscription.Two copies of your original signed license must be returned to AMICO within 30 days of the start of your subscription or your access will be terminated.