To become a subscriber to CHD’s journal, which contains wide-ranging articles in the field of psychoanalysis and psychotherapy, please fill out and return the subscription form below. Artist Peter Max, whose original design graces our journal cover, will sign a limited number of covers; these will become instant collector’s items.

Name: _________________________________________________________

Mailing Address: __________________________________________________

_______________________________________________________________

_______________________________________________________________

Telephone(s): ____________________________________________________

E-mail: _____________________________

Fax: _______________________________

Professional Affiliations: ____________________________________________________

Subscription Rates: One year (1 issue) = $50.

Total Enclosed = $___________.

Make checks payable to: Center for Human Development: Journal

Please remit to: Administrator, 515 E. 14h St. 8-H, New York, NY 10009

To contact us, Email at CtrHumanDev@aol.com, or telephone us at (212) 642-6303.

CENTER FOR HUMAN DEVELOPMENT