Xerography Debt Review Form

Mail zines & form to:

Davida Gypsy Breier
PO Box 347
Glen Arm, MD
21057 USA

Please review my zine…

Title: ___________________________________________________

Issue #/Date: _____________________________________________

Contact name: ____________________________________________

Address: ________________________________________________

e-mail: _________________________________________________

website: ________________________________________________

price: $___US/ $ ____Can/Mex / $___World

trades: yes / no / maybe

size:

page count:

description: