connections new issue service request form

New Issue Service Form

Use this form to sign up for our new issue service or print a form to be mailed or faxed.
The price for new issues will be approximately 45% over face value.
This is net price - no other discounts apply.

Privacy Statement
The information provided here is for the sole use of Connections. We guarantee that this information will not be sold, bartered or otherwise provided to any other entity.

Required Fields **
Email Address **

First Name **
Last Name **
Address Line 1 **
Address Line 2 **
City ** State Zip or Postal code **
Country **

PAYMENT
I will settle my account using:

Personal Check or Money Order (we will email your total + shipping charges)
Paypal (we will email your total + shipping charges)
Visa or Mastercard

Please provide your Visa or Mastercard, number and expiration date:

cclogo

Optional
First Four Digits Second Four Digits Third Four Digits Fourth Four Digits Ex Date

Note that this is NOT a secure server. If you are not comfortable entering your credit card information,
please fax it to 770-435-7189 (on autofax or hit #11 if the answering machine picks up). or call 770-435-7189

Sign me up for these these countries Select as many as you would like:

ALAND	GUERNSEY	NEW ZEALAND
ALDERNEY	GUINEA	NIGERIA
ANDORRA (FR)	GUINEA-BISSAU	NORWAY
AUSTRALIA	GUYANA	PALAU
AUSTRIA	HONG KONG	PAPUA
AZORES	ICELAND	PITCAIRN ISLANDS
BARBADOS	IRELAND	PORTUGAL
BELARUS	ISLE OF MAN	ST KITTS
BELIZE	ISRAEL	ST PIERRE
BELGIUM	IVORY COAST	ST VINCENT
BERMUDA	JAPAN	SAMOA
BOSNIA & HERZEGOVINA	JERSEY	SAN MARINO
BOTSWANA	KENYA	SERBIA
BRAZIL	KIRIBATI	SIERRA LEONA
BRIT ANT TERR	KOREA NORTH	SINGAPORE
CANADA	KOREA SOUTH	SLOVAKIA
CAYMAN ISLANDS	LATVIA	SLOVENIA
CHINA (REP)	LIBERIA	SOLOMON ISLANDS
CHINA (PRC)	LIECHTENSTEIN	SOUTH GEORGIA
CYPRUS	LESOTHO	SPAIN
DENMARK	LITHUANIA	SRI LANKA
DOMINICA	LUXEMBOURG	SWEDEN
ESTONIA	MACAU	TANZANIA
FAROE ISLANDS	MADEIRA	TRINIDAD & TOBAGO
FINLAND	MALAYSIA	TRISTAN
FIJI	MALTA	TUVALU
FRANCE	MARSHALL ISLANDS	UGANDA
FR POLYNESIA	MICRONESIA	UNITED NATIONS
GAMBIA	MONACO	UNITED STATES
GHANA	MONTSERRAT	VANUATU
GIBRALTAR	NAMIBIA	VATICAN CITY
GREAT BRITAIN	NAURU	VIETNAM
GREECE	NETHERLANDS	VIRGIN ISLANDS
GRENADA	NEVIS	ZAMBIA
GRENADA GRENADINES	NEW CALEDONIA

Quantity Desired OF EACH COUNTRY SELECTED:
Stamps
Souvenir Sheets
Booklets

Additional comments (Provide any deviations from standard quantities here)

Ship stamps when the total value exceedsU.S. Dollars(minimum is US$10.00)

By submiting this form, I am requesting new issues for the countries selected above.
Stamps will be shipped when the total value exceeds the amount specified or $US10.00 (whichever is greater).
I understand that postage and insurance will be billed at actual rates.
I agree to give Connections thirty days notice if I want to cancel this service.
I agree to accept one last selection after notice to cancel is given.
Payment, in full, must be received before shipment.