BBI Media Change of Address Form

BBI Media Address Change Request
Complete the form below in order to change your address on record with BBI Media, PanGaia Magazine, Sagewoman Magazine, NewWitch Magazine, and Crone Magazine. (* = required field.)

First Name:	*
Last Name:	*
New Address:	*
New City:	*
New State:	*
New Zip/Postal Code:	*
New Country:
New E-mail:	*

Former Address:
Former City:
Former State:
Former Country:

Please tell us which magazine you are changing your address for (check off those that you are subscribed to):
SAGEWOMAN
PANGAIA
NEWWITCH
CRONE MAGAZINE
Comments:	Please add any necessary comments regarding your change of address here.

BBI Media • P.O. Box 687 • Forest Grove, Oregon • 97116 • USA
Toll free phone: 888-724-3966 or 503-430-8817 • fax 206-309-0589